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Building Permits CITY OF YELM Buildin ermit,_,N_° ~ 4 ~ ~ ' ~ ~' ~ ~~ ~ ~' BUILDING DEPT. Date -~ phone: 458-8407 ,., (Work m st be started within 120 days) "~T ' w Name `~ ~ - ~ r Phone( )ti~ R Address ~ ~h ~ ~~ ~ Cit, St. % Zip Code r ~~ ~ t~ Site Address '~ /'~ ~ ~'..` % ~ ~l a Assessor's Parcel No. r Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Nam ~ f '~-, . !"~ ~,~ ~ .'F ~ ontact Phone (v(.~^) -• ~ < r Address ~~ '~ r _ r ~ 1~~ a ~?, /~ ~ 1~ City ^ "i`aY ' St. Zip Code ~~ ~ ~~ T o ~ ~,.o.,~o ti., ~TL] l~ r'( r~~ 1'~.J liG~ ~.?~ ~ ~7 Exo. Yelm Bus. Lic. No. Description of Work ~ ' ~~"~ ~_%'~ ` ~ ~ OFFICIAL USE ONLY 1 Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign__~ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N :-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other ~7 Plumbing Permit # ~ f WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By ..-~ ~ s/ f ~ , Minimum distance of structure from property lines: Issued By i Front to of Road Final Insp:_~/ Side Side Rear Owner L&I Form Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washin~gn. Assessor Floor Plan and Permit Submitted~~ SignatCii'e---.,,,..~''' E!' Date JpC, / ,~ y / `> ~ Quarterly Reports r..,, ~------- _ TRPC ~ ~ ~y~ t NEW UtVtLUI'MENI /NEW (;UIV51 KUI:lIUN (:NE(:KLISI SITE ADDRESS: Permit # ~ Fee If If Applicable Applicable SEWER PERMIT ~`~- $125.00 SEWER LATECOMERS "SEWER/SEPTIC ~ /~ $1,000.00 SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT / o % ~~ PLAN REVIEW MIT ~ % ~~ (`~' ~ 5~ BUILDING PER ERMIT / ~/~ PLUMBING P MECHANICAL PERMIT n(~~" GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PR/OR TO FINAL INSPECTIOfY BY Receipt # Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 ~--~ ~ Y ncl z°'S '~ i,~J , C, F'c e CITY OF YELM BuildinPermit ~°T ~ 1 BUILDING DEPT. Date '`~~' ~~ ~~`-~" phone: 458-8407. Work must be started within 12 days) o ~' , i, %"' ~ ~ ,? . ~ Phone ( ) ~r ~" .~ f~ ~~' w Name ' ;~,(.,•'',~ ~~ '~i I ;`.r 1 .° N a r a Address '" ~ ) , ~'~ ~ City ' St. ' -Zip Code ~ ~`'3 . ~ Site Address`~(~ ~ ~ l%~ ~ ~~ a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name o~j';;ri ,' ~~ ,'~ k ~~}; / /~'7'~,{/~~,~ / Contact Phone ( ) r Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~'~~' ~T~ G%,;~ ~ OFFICIAL USE ONLY . ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign~_ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ; r ` ~'~ ~~ ` `~~ L ~` -: ~ , Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE l~t,/r ~ Plan Check B ..~ ,~ Minimum distance of structure from property lines: Issued By ! j Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. ~},- / Signature' ~ tit iL'~,' ;? f f " '-~ i ~~k'<" 1~ Date Quarterly Reports Firm: ~..1 Assessor ~ _~ TRPC ~ ~ r CITY OF YELM Buildi Permit N9 -~ 5 9 4 5 ~ ~~ ~" BUILDING DEPT. Date ~• ~- '~~ ' ~ Phone: 458-8407 , .,~ (Work mus be started within 120~ays) ~ , N W~ Name ~, ,? ,: 7' ~ /; ,~~' r' rl ~-~ / ) Phone ( ) ~f -- ~,' `~/~', i a Address /'/,~ " , j ''~ ' {`~ City ~ St. ~ f Zip Code k'`~C Site Address ~r '`,, f ~" a Assessor's Parcel No. ~ ~f ~)~ ~ f ~ ~ j[.~[~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N + Name ~`~-~;~ ~ p,, ~~ ~ Contact ~ ~. Phone( )'~~ ~ ~~,%'~' ' •~, /,~~ Address ~ ~-''." ,9 Cit St. Zi Code Y ~ P _ ~ T o ~~}) j License No.ri°St'a"~l"~ .~/ ~~~ ~ ~ ~ ~j_~orx~._ ' Exp. ~'' Yelm Bus. Lic. No. ,~/ _5~/ . Description of Work ~ f ~-, ; ~~~ % / r% j ,~ ~ ~ OFFICIAL USE ONLY , , Permit Type: Sq. ft. per floor: (1st) (2nd) Residential -Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ''~('~ r% (~ ~ ~ ~ ~ Sets of Prints Other r~ ~. ' Plumbing Permit #~1.;1'+ r ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ 7 Mechanical Permit # ,~ TOTAL FEE ~ Plan Check B + i Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted__~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~ °~/'" ,,,~'_.--~ `~ ! Date %¢` ~ -~~f"~ ~~~ Quarterly Reports Firm: .-! Assessor-/J TRPC J ~ NEWUEVf=LUf~IV1ENf /NEW (;UN51flUC;IIUN c;HE~nf_fsI SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWERlSEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL Permit # Fee If ~ Receipt If Applicable Applicable / $125.00 i NiA i = ~ `4~(~s a~~ -~ arig~naL blcP~. Fermi-l ehP~K- G~. b a~ "~~1 X mew ~amc1 STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY 116, 7~ S~I~I~~ 171~~, ~~ 5~3~ 2~5,5~ ~~~~ # Comments ~~ PERMIT/INSPECTION PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 ~ ricer! z°5 , 5d W.C. Fce 8~" t ~5l,C~D CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name ~ ' .l N a Address .-- f ~~ Site Address~`~~ l / lff '~ ~t~~~~ Yee a Assessor's Parcel No. ~j l c"7 r~C/r~( O ~ ~~ , R Subdivision ~_~ f j' -- ,j~ fa,?.~j~.,~~ - T Y OR Short Plat No. Existing Structures, if any o ., ~ N ,:~~ Name ~C , ~rr~ ~ T . . -- Build' Per~mit~ N~ ~ ~J ~ 4 Date ~ -° ~~ .4 ." lk %~ (Work must be started~n 120 days) ~~~~~~ __ Phone( ) (Y-7'~I --~~~~ City St. Zip Code L~n (~ Lot Size (sq.ft/acres) ~/ ~~~. Lot ` f Block Block Contact Phone( ) ~~~-V/~~Jj~ ° o ~ ~ .-, .-~ ...-~ Address I'v, ~, ; ~ '~ ,'~'/'~ City ~"};!J~jf , St. i,,(.Iffi Zip Code '".~ jJ .~ <~(J a License No. ~ ~ t ` Exp. Yelm Bus. Lic. No. '`~ ,~ Description of Work ` "`~ i ~ ~ '!e OFFICIAL USE ONLY _, Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~, , ~ Sets of Prints Other Plumbing Permit # ~~~ WA. ST. BC. Fee (4.50-New Const. Only) ,.~ , Mechanical Permit # ~r Plan Check By + ° ~ TOTAL FEE , Minimum distance of structure from property lines: Issued By ~ . r Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ 7'^~ Signature ( `" °~-.--_,__._._ Date Quarterly Reports Firm: Assessor ~ ~ TRPC _~ ~ NkW UEVtLU!'MtN I / Nt W I:UNS I ItUI:IIUN l;f ILI:IILIS l SITE ADDRES5 s I(f II ''~ l SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE Permit # Fee If Receipt If Applicable Applicable # Comments $125.00 r~~ L PERMIT/INSPECTION $1,000.00 X ~~; ~ ~ PER ERU HOOK-UP ~~i~o. v~ Jl `~J 2 E,eu ~ Pueeh Power 4b8-7731 Yelm Tale. 4b8-2171 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. ~a3. ~Z ~-~ ' ~~ 5~9~'d 8I ~, 0~ v ~, ~/ ~, 5 ~:~ ~ I ~ i, 5~ ~ ,v ~~ 5~~~ ~; , $30.00 =nom rs .50 W.C. F'cG ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. phone: 458-8407 R AddressZ~ ~7/G,~ r~ ~`~ r ..k~t~ ~ / t L. Site Addres9'~~~ ~,J ~,,) / L_ a Assessor's Parcel No. C 7~ ~~I Z? ~~r~~ 0 P a Subdivision ' T Y OR Short Plat No. /LL7 [ , f1< Build'., P ~I -.-,~~ ~9 3 ~ Date ~`~-x--~'' 'r` (Work must be started within 120 days) Phone ~~ hJ ~J~ ~~7 / I St Zip Code ~~®~ Lot Size (sq.ft/acres) Lot Block Block Existing Structures, if an '~ ) ~ r ~ r o N Na „ ~ ~ ~ ~~ , Contact `~"'N ( ' ~ Phone- ~E=fft.l~F„ Address ~ 'y I ~~,. 'CI~ ~~ St.G.c~1~'~" Zip Code °°'?-~z~~Jl ?'f._ T R License No. Exp. Yelm Bus. Lic. No. /~ Yin ~ ~ ~ q Description of Work L..-~/~P ,~.t:~ f ,(~/ ~./G~'„`,~C~ti~~ /,. ~ (/~ ,~~~ ~` r~ ~ s OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~! U Y ~ J (..~./ / ~ i (~ ~t~ Sets of Prints Other ~} 2// Plumbing Permit # " ~tJ 7 , WA. ST. BC. Fee (4.50-New Const. Only) r Mechanical Permit #~/ ~~ TOTAL FEE . ~ CJ Plan Check Issued B 1 Minimum distance of structure from property lines: Y i ~ `'' Front to of Road Final Insp:J-~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingtgn. / ` 1 ~ .~ , ,~ ~ ~ ~ ` ~~~ _1~ ' v Date!-` ~.~c~ ~ i~ Quarterly Reports Signature '' ~' ~ {, ~ ~'~~' r° f6 Firm: .~ i ~ ~ Assessor_~~ TRPC / J I ~~/ NkW UEVtLUf'MENI /NLW I:UNSI1tU(:11UN l;fll:l;IlLlsl SITE ppDRESSs Permit # Fee If Receipt If Applicable Applicable # Comments $125.00 ..-) ~ PERMIT/INSPECTION SEWER PERMIT SEWER LATECOMERS $1,000.00 PER ERU HOOK-UP •SEWERISEPTIC SITE PLAN ACCE88 b DFtA1NAGE WATER SUPPLY WATER LATECOMERS 2 C~J4 gp ~ "WATER METER v r ~-" ATER SERV. ORDER ~~~~ ~~ W Pugeh Power 468-7731 POWER Yelm Tele. 46&2171 TELEPHONE 8TATE/C0. APPROVAL 8TREET CONSTRUCT ~~f~ €~~Xo ~d? jV , r ~ ~ 2 ~D. 5~I0.35 y~i7/4/ ~~ ~ PLAN REVIEW '=nom ~ ' ~ 5"93 l Z ~C~. ~~ '' w. c. ~'~~ BUILDING PERMIT T 533 ~9.dQ •' ~~ PLUMBING PERMI ~ n MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING SS LIC. 530.00 ~ ~ YELM BUSINE TFC - Transportation Facilities Charge - S9,OQ0.00 ` ADDITIONAL COMMENTS ,~.,,,,,A,..~.. CITY OF YELM BUILDING DEPT. 'hone: 458-8407 w Name ! rnu~iCt ~ a Address ` J U City ~, St. Zip Code i° Site Address ~ f 1~ ~ f ~ ^ a Assessor's Parcel No. ~~',,, f ,~~ ~~ ~ ~~D ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work / ~~ ~ ~ ~ r ,r~ • ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign V Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other r'+ t ,r !f IVr. ~I/? Plumbing Permit # WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit # j P ~ f Q TOTAL FEE ~ ~ Plan Check B~. ` / . r, Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: ' I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington.. , Signature ti, ~ ~' ; ` ~ ~` ~~ Date tt `,~~%~1f~C~ a Firm: ` Issued By ~ Final Insp:~J Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor_~~ TRPC ~ ~ Building- mit N~ ,.- 5 g 1 ~~ , Date ,., ! ~. ) `' ~ ti (Work iit{~st be started within 120 ays) r r, t ,~ ~ f _~ CITY OF YELM Buildin E rmit ~ 5 9 41 BUILDING DEPT. Date "~_ ~ .~~, %' phone: 458-8407 --. (Work must be started within 20 days) .~ ( C~ w Name ` 'f i Phone( )~ r f R Address y ~ ~ +~~ City I Stj~ Zip Code Site Address ~, ` P R Assessor's Parcel No. Lot Size (sq.ft/acres) o a Subdivisio (,,(J ~ ,i ~° Lot ~ ~ Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name /'i J „~ , Contact Phone ( ) 715 ~~ e~7 '~r T Address , '~f ~~ ! ~ City St. Zip Code '~ ~~ T oR License No. ~ ~ _ ,.1.. ~ .~ ~/ Exp. Yelm Bus. Lic. No. Description of Work %~ ' , OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value , 1 ~ Sets of Prints Plumbing Permit # ~ ~ ~ Other ,-j ~ L~ //jj l P i M h i # WA. ST. BC. Fee (4.50-New Const. On ly) ~ an ca erm t J ec ~ :~ v s TOTAL FEE , Plan Check Byr .~ Minimum distance of structure from property lines: Issued By t ~ / - ~ C) Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~d f~w R _; .~ .. c.~ Date i= ij F Quarterly Reports _°-_- J Firm: '~'!",,,_,>- __.-~ - v/` Assessors/ r TRPC J ~ NSW UEVt=LUYMEN- /NtW c%UlVS11tUC:11UN t;N~l;ltus~ SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If If Applicable Applicable $125.00 $1,000.00 ~~y f ~ ~~~~ 5 ~~2 %a ~ ~~ ~~~,+ ~~ 5~~: ~ 7 i (~~ 93~0~ yi. a~ $30.00 Receipt # Comments ~ ~ PERMIT/INSPECTION PER ERU HOOK-UP Pugeh Power 468-7731 Yelm Tele. 468-2171 LY~G(.eGC~ 't, W.C. F'~~ r ADDITIONAL COMMENTS - -- -... ~ . .........~nr~n~I D V CITY OF YELM Buildin Permi~.,N° -- , 5 9 3 4 BUILDING DEPT. Date ~~ _~~.~_Z~. ~r= phone: 458-8407 (Work must be started within 120 days) 1 A _ ~ f t° w Name t~ r?;'YV! ) 1i ~`Z/1 ~ ' € .M ;~":~/ 1 ~ /7~`]f'~-r'~-r'`~lrl ,~ Phone( ) N R ~ ~ Addres ~~ - ~,.~ ~ ' City '. ~ f St. ~ Zip Code ~ Site Address ~ ~~~ P R Assessor's Parcel No. ~ (,~ ~~ Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ ` r 1~ t '~~ '~~~~ N Name ` ~ . i Contact Phone ( ) / T Address , ,~ City St. Zip Code a License No. ~ " `~' ~ Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ ~ y- ~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the iriformation contained within the application and know the same to be true and correct. I also certify that the proposed. structure is in conformity with all applicable City of Yelm reg- ulations in~ladTfS§' a governing zoning end land subdivision, and in addition, all covenants, easements and restrictip s of record. If plying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. '< i 1 Signature ~.1 ~^,~,~... ;'w.,~ `~ ~ ~ ' Date 1 Firm: r Plan Check Byt Issued By ~ , Final Insp:~I Owner L&I Form Assessor Floor Plan and Permit SubmittedI_~ Quarterly Reports AssessorJ~ TRPC ~ ~ w N E R CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin Per it No ~i ~ 3 a Date ~~ ~~- ~~ (Work must ~e started within 120 days) r -- 1 ~ / Pho/n'~e~( ) ~~. .~,/ ,l l !~/~ E~)!`, ~ Citv ! 1%~1f0~ St. 1 ~.jl'~ip Code ~~~ I ~~ Site Address l C;i c.~ ti?.ltp~ l ,.I`fl~' ~J-(~(i' ~f `~ C,.;(f(.~, ~'} " P Assessor's Parcel No. Lot Size (sq.ft/acres) R O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name "~` '' - ,; ` ~ i ~ ' Contact rnone t / T r_ . ~ Address :."~ 1 ~ r~~ / ~ ,' ~< <7 ~ ~9 { City i' .r..~- ~~//'' , St. ~ Zip Code ~ . ~ ~.~CL~' a License No. ~ `~ ~ Exp. Yelm Bus. Lic. No. 7~/~ Description of Work ~ ~'~ r'/~ ~ OFFICIAL USE ONLY Permit Type: i Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System ,r ~ Shoreline Permit Y N seat: Electric Gas Other ~ Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ,~~ ~~ `~ '~ `r`~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # `~ TOTAL FEE , Plan Check By., /`~:a 1 Minimum distance of structure from property lines: Issued By '~! Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. /~ q Signature °~/ ,~~ ,i~~ ,(J~ Date /~ /~ Quarterly Reports Firm: ~__ ~ ~_ _~ t.-g N, ~ Assessor~~ TRPC ~ ~ CITY OF YELM Building Per it N_°O_. 5 ~ 3 7 BUILDING DEPT. Date ~~~! ~=L~ ``~(..7 ~hOne' 458-8407 (Work mus Ye started with~i~n 120 days) N Name ~ Phone( ) R 1 t Address '~ %~ kf 1 1 ` '~ City l St. r Zip Code ~ '~ ~ ~. > A t Site Address ~ e~~ ~ R ~/ Assessor's Parcel No. (~ ~~ °Z~ ~~®0 ~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r ~ OR Short Plat No. Block Existing Structures, if any: c N Name ? Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ~ ` ~ / h ! O l~pproval No. Sewer Septic er Commercial t City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ®~ ~ ~ Sets of Prints Other Plumbing Permit #~~ WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # TOTAL FEE ~ Plan Check B Minimum distance of structure from property lines: Issued By \~ , Front to of Road Final Insp:l~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,- -L__~ ~; ~ Signature `'. ! ~ ~ ~~~ ~~, `~ ~'~'~%'~~~~,.., Date " r ~~ Quarterly Reports Firm: e ` ~ M !f/i ;,' ~.~ ~_"`. ~ F ,,r Assessor_~~ TRPC _~ ~ U NtW UEVtLUI'MtNI /NtW I;UNS11tUl:l1UN 1:11tl:IlLISI SITE ApDRE15S s SEWER PERMIT SEWER L,A7ECOMER8 •SEWER/SEPTIC SITE PLAN ACCE88 b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENT8 Permit # Fee i( Receipt If Applicable Applicable # Comments //- $125.00 PERMIT/INSPECTION ~~~ $1,000.00 PER ERU HOOK-UP N/~ ~~~ / 5, 7~ ~ g aS_.~ 53'1 ~ 3; oo r~ ~/~ ~~~ $30.00 Pupeh Power 468-7731 Yelm Tele. 468-2171 =KG~1.~r!'S ~~ W,C~ Fc~ CITY OF YELM Building Permit NQ , 5 9 3 3 BUILDING DEPT. Date f~ ,l%~~ ~~} ?hone: 458-8407 (Vyprk must be started within 120 da s) '`// ~l ~ o N ~ ~ Name ~ / ~ '~ ~ Phone ( ) R ,n , ~l Address City ,~ St. .~ Zip Code Site Address f~L'~ ~/~ ~ ~f" (~~, ~,~.~, ( P R `~r ~~~ Lot Sizes ft/acres Assessor's Parcel No. r ~,, (q• ) O R r SUbdIVIS10 ~ ~ ' J ,/~~' r "~ r~i f'~ ~ Lot , BIOCk Y OR Short Plat No. U Block Existing Structures, if any: c N -~ f~ Named •~ ~ j f ~ Contact Phone ( ) a Address ~ , ~ , ~ City St. ZipCod~;~,,.` ~ ~~ t ~. '' a License No. ~ ~ Exp. Yelm Bus. Lic. No. Description of Work '' ~ OFFICIAL USE ONLY Permit Type: ! J Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~ .~ Sets of Prints Other :~ ~,j ;~ Plumbing Permit #_L). fit"/' '~/ , WA. ST. BC. Fee (4.50-New Const. Only) ~ . Mechanical Permit #L1'--1-~1 TOTAL FEE Plan Check By(,, Minimum distance of structure from property lines: Issued B Y Front to of Road Final Insp:_~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~ Date Quarterly Reports ` Firm: Assessor~~ TRPC / _~ I NtW UEV~WNMtN 1 / NtW (%UNS I IZUI: f IUN l:ll~i;IILIS l ~/ SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS Permit # ~ Fee If If Applicable Applicable $125.00 $1,000.00 / ~.r (N ~ ~av~~ ~~ ~'Y ~ : ~7~ ~~~,~ 5lG 7, 5~ 530.00 . ........-..~-~.,.. nv Receipt # Comments ~ . PERMIT/INSPECTION PER ERU HOOK-UP Pugef' Power 46&7731 Yelm Tele. 468-2171 YY~G) ~'S ~>~ W,C~ F'cG CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building ~ermit ~~ ~ ~ ~ ~ 6 Date `' / (Work must be started within 12 days) w Name t, Phone( ) G' a Address ''~ ; ~~ n City St ~ Zip Code ~ ! , ~ Site Address '~,~1 r ; R Assessor's Parcel No. ~ ~ r--~ ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name - 'j ! Contact Phone( ) T Address City St. Zip Code r ~ / ,J I iranSe Nn_ / ~ ~1 Exp. Yelm Bus. Lic. No. Description of Work / '` ..~• ~~ r ~ J ~ ~ OFFICIAL USE ONLY ~1 ; , Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. CommercialJC_ Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~! ~~ ~r r' Mechanical Permit #_~? ~Ls , ~ TOTAL FEE , Plan Check By„ ~ '~ ~ 1 Minimum distance of structure from property lines: Issued By '~ Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If ag~Jlying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ' r ..._ , Signature ~`" -°~Z~. ,.,~..c...c,-,.~,,.,...n-- Date /_.;.:'';~ ~? ~, Quarterly Reports Firm: Assessor _~ ~ TRPC J _~ NkW UtV~LUI'MtNI /NtW l;UN511tU1:11UN I:fILI:IILISI SITE ADDRESSt SEWER PERMIT SEWER LATECOMERS "SEWEFt/SEPTIC SITE PLAN ACCE88 b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/CO. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If If Applicable Applicable /(I ! f~. $125.00 i1>~l~ $1,000.00 IU/~ N%R~ 593 5~f39 ~~,8~ 5~~ ~~ $30.00 Reoelpt # Comments PERMIT/INSPECTION PER ERU HOOK-UP PupeF Power 468-7731 Yelm Tele. 468-2171 rnuuac~ ~- W,C~ Fct ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. 'hone: 458-8407 W N E R BuildinaaPer--m,, it ~®~,~~,/ ~,~ ~ 2 Date ~"~~ ° ~'Tc--t'~ (Work must be started within 120 days) u-~,~ ~ ~ ~' Site Address ~ ~s •' a Assessor's Parcel No. , ` Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: C N Name '~ y Contact e Phone ( -S - T ~ '~ ~ Address ,~ ~ City t. p Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ t ~~ Plumbing Permit # WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By !.- Minimum distance of structure from property lines: Issued By Front to of Road Final Insp: /_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted- /~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~ ~ .P - Date _ Quarterly Reports Firm: Assessor~~ TRPC J / CITY OF YELM BUILDING DEPT. ~hone:458-8407 ;. ,, _~,; Na mP 1 ~ J D `~ /~ r'~ d'1 F / 1 /% d'~l /YI l ,~ 1/I /'1 `~- J `' 1 rl 1'~ ~' { /VI /~_ R Address r `r ~ / ~ J City St. ip Code Site Address / n, / ~ ' ~ R Assessor's Parcel No. ~ f ~ `~ ~~ ~ ~ Lot Size (sq.ft/acres) 0 A Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c o N Name Contact ' Phone ( ) Address 7 , r'(#r1 : r °~ City St. ip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other _ City Water Private Well Private System Shoreline Permit Y N ~~ ,~leat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ _ ~~ t ~ ~j Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. O nly) Mechanical Permit # TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: Building ermrt N~ ~ 4 2 Date ~ ~ "' 1 ~ ti ~~~~ (Work must be started within 120 days) Phone( J Plan Check B i Issued By Final Insp:_/_~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports Assessor~~ TRPC J _~ ,_. f CITY OF YELM BUILDING DEPT. phone: 458-8407 d'~ w Name " '' N E R Address Site Address ~~(c7 P R Assessor's Parcel No. O P a Subdivision r Y OR Short Plat No. Existing Structures, if ar N Name ~ { Address ~~ ~, ,~ T ~ I Trance Nn_ Buildin Permi ~0 5~;9 2 7 Date !~` ~~ '" ~'~ ~-t'•" (Work must be started within 120 days) ~~ ~ ~. ~- f ~ Phone ( Z (~ /~ :~ / Cit ~%T !/'!~ St. /f fJ''7Lip Code ~ ~/ ,~ S~ Lot Size (sq.ft/acres) Lot Block Block 0 Contact r ~ Phone (~ ~ Z~ ~ - City St. ~ Zip Code ~ (~/,~ Exp. Yelm Bus. Lic. No. Description of Work .-r , ~ ~ f OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Y Sewer Septic Approval No. Commercial Other ,._~City Water Private Well Private System Shoreline Permit Y N ~, Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other c/ ~ y l ~ i I J // Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit.# TOTAL FEE ~~ ~(~ Plan Check B _^, Minimum distance of structure from property lines: Issued By r e Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature j j~` . ~ ~ -" Date ~ _- ~ - Quarterly Reports Firm: Assessor-~ ~ TRPC J J CITY OF YELM Buildin ermit ~~°_ , ~ ~ 2 6 BUILDING DEPT. Date " t~C~ "~~ ~ }hone' 458-8407 (Work must be started within 120 days) ~ ~)~~ ~~ ~~S w Name `~~ ~ Phone ( ) L -~ N ,, R Address C St Zip Code Site Address P R Assessor's Parcel No. ~ ~ 1 ~ ~ ~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name Contact Phone cZGY)2 . 1~ Address ~ r ~ ' ~ City St, Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work i ,~, ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other . _ City Water Private Well Private System Shoreline Permit Y N i., Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ ~ /~ ~ 1 f ~ /~ Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # r TOTAL FEE ~ +( Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: Plan Check B jam. Issued By r Final Insp:_~~ Owner L&I Form Assessor Floor Plan and Permit Submitted_~~ Quarterly Reports Assessor~~ TRPC ~ ~ r i CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Buildin Perml~y~~.-~ 5 9 2 5 Date ~°'~"'~(-~`__('~~~n, (Work must be started within 120 days) w Nam p' ° `~ Phone r ) ~ ~ r ~ N E a Address City. ~ St. Zip Code Site Address / / P R Assessor's Parcel No. ~ ~ ~ Q / ~ / ~p ~ ~ ~ ~ '~ ~(~ ~ /~ t:~ ~Q ,~ Lot Size (sq.ft/acres) O R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ,~ Contact ~ ~' r s Phone ( ~ 2 ~' lr ~.', T // Address 2„~ ~ ,!~`r ~ ~ Cit St. ipCode T °a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ OFFICIAL USE ONLY Permit Type: l Si n i R id Sq. ft. per floor: (1st) (2nd) g es ent a Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~ ~ ~~ jj 1 ( ~! Other . t'T Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE ~~ ~ ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Firm z a Plan Check Byc/ Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedIJ Quarterly Reports Assessor~~ TRPC ! J CITY OF YELM Buildin Permit N°~; 5 ~ ~ ~ BUILDING DEPT. Date ~. ~-~~~"V ~y> 'hone: 458-8407 (work ust be started within 12o days) w Name ~ ~~ lr ~ ~ Phone ~ ) N R _ Address '~ f f it St. Zip Code i Site Address '~ ~ a Assessor's Parcel No. l ~~ '~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N '~ Name Contact' ,~ Phone ) .t""1 Address (~ ~ '~ City St. -~ Zip Code r R License No. Exp. Yelm Bus. Lic. No. Description of Work M ~~ F> f OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ t t ~ // Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ Plan Check By.. Minimum distance of structure from property lines: r ~ J Issued By ~ ~ ` ~ V Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ,"f ~y . r ~ •'- Date ~? ytl--f'~ Quarterly Reports Firm: Assessor~~ TRPC / J f P CITY OF YELM BUILDING DEPT. Phone: 458-8407 _ I ,11 / /l fi ~ Building Permit N _ 5 9 31 Date (Work must be started within 120 days) i w Name ~ Y- Phone ) N E a Address City St Zip Code Site Address a R Assessor's Parcel No ~ Lot Size (sq.ft/acres) O R Subdivision Lot Block r Y OR Short Plat No. Block Existing tructures, if any: C N J 1 Name r tact Phone ( ) ~~ r R ~ Address Cit St. Zip Code r a License No. `~ j 7 ~ /~ xp. Yelm Bus. Lic. No. Descri 'on of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per flo r: (1st) (2nd) Residential Sig Sewer Septic Approval o. n Commercial Other City Water Private W II Private Sy em Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR F E EE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # l P i M h i # / WA. ST. BC. Fee (4. -New Const. nly) an ca erm t s ec TOTA FEE Plan Check B ~ Minimum distance of structure fro pr perty lines: Issued By Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined t information contained within the application and know the same to be true and correct. I also certify that the pr sed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning d land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contr tor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Firm: Quarterly Reports Assessor /J TRPC / / CITY OF YELM BUILDING DEPT. 'hone: 458-8407 r ` N Name z~ Gii - ,6~~' Y _.. Buildi a Per . ~°--~ 5 9 3 Date I'~ - ~~ ~i~~ (Work must be st rted within 120 days) ~~ ~ ^, Phone ( ) ~`~~ ~~~0~ ~ i ., rt ,-, ~.-, .-~ R Address City St. -Zip Code " Site Address .,.? n r, a Assessor's Parcel No. ~~ Lot Size (sq.ft/acres) o R ~ Subdivisio ~ Lot 2 Z Block T r` Y OR Short Plat No. Block Existing Structures, if any: c N f Name / Contact Phone ( ) T Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. Description of Work ) ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. perfloor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other Plumbing Permit #-~~...- l P i M h i # WA. ST. BC. Fee (4.50-New Const. Only) erm ec an ca t a U 7 TOTAL FEE ~ ~ Plan Check B F ~ t Minimum distance of structure from property lines: Issued By ~ Front to of Road Final Insp:~_/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. SignatuXe `~ . ! /~.,..-.~ Date ~ ~~J `l Quarterly Reports Firm: Assessor_~~ TRPC J ~ NEW UI=VELUNMtN l /NEW GUNS 11{UL f IUN I:HEI:IILIS 1 SITE ADDRES5 : /~~ ~( 9~n~a~ /~~, ~f= SEWER PERMIT SEWER LATECOMERS "SEWERISEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURB3 LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS Permit # Fee li Receipt If Applicable Applicable # $125.00 ~~ ~~~ 0 3 1 97s1,ooo.oo ~_ l~r'°l, ~d lJ 5~3~ 5q~,5~ f. ~ ~~_~ ~q, oa L' ~ 3~ $30.00 ~~ Comments PERMIT/INSPECTION ERU HOOK-UP Pugef• Power 468-7731 Yelm Tele. 458-2171 t n W,C~ Fct CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Buildin )Per it {~°r;,Y~~~ Date ~~ f' (Work must be started within 120 days) ~~~~. ~~~ 1; ~~ N Name r ~ Phone( ) R Address ~ ~^~ City K St. Zip Code r Site Address ~ '~ ~ ~j ~ ~> ~ R Assessor's Parcel No. ~ ~;1 ~ Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N - Nanler 1' ~ s Contact ~ Phone ( ) ~ -- T J [~ ! ''/h i ~ .~ ~ Address j l St. Zip Code ,; a ; ) /? License No. ~ ~ /~~ f? ~ ! ~ ! (? ~ Exp. Yelm Bus. Lic. No. Description of Work ;~ "~ ' ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE , Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted--/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applyi a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature /'" L_ Date ~l ~-~~ ~ Quarterly Reports Firm: ~ ,,~ Assessor-/~ CC~MNiF1~T~ : AL.I, 6+Tt)RR Tt? BE ~'I~°L,® 't~ARII~IEl~ TC~ CL9NFORM TRPC J / Ui'ITI~ CLaRR~NT iTNI:~R~6' BUII~DINC r'C)iaE CITY OF YELM Buildin er it ~~~~ 5 ~ ~ BUILDING DEPT. Date ~" r~-' phone: 458-8407 (Work must be started within 1 0 days) ,.,~ w Nam ~~-{. ; f ; ~! j~ f,, ~F 1( Phone ( ) ~ ~`~~"~°- ~' R Address ~ ~ '~ City ~ f t Zip Code ~ ~t.~ St ~ . Site Address ~ f t R . Assessor's Parc I No. .1 ~ r~ /l ~.,~ ~ Lot Size (sq.ff/acres) o P T Subdivision- ;y f~ry/ }~~~,~ ~ .~ ,~ ,, ~. ~ ~ .~,~ Lot /~~j Block Y OR Short Plat No. ~) Block Existing Structures, if any: N Name ~`~ ~f ' dd 1 1. "~ f' Contact ~, . , Phone( ) y - .~~p ''~ ~"~ ~~ ` j ~ ' ~~ ~ ' ~ ~ ~ '~ , Address City J ] Zip Code St. °a License No L~ > `y Exp ~- Yelm Bus Lic No ~~5/~ . ~ . . . . Description of Work i~ ~' l '~ , ~,;%, ' %,~ OFFICIAL USE ONLY 'Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value a / ~ i .~ , *~ Sets of Prints ~~'' ~~ ~~ JJ P Pl bi it # LL ~ Other um ng erm _ ,.. . ~ ~ l P i M h i # WA. ST. BC. Fee (4.50-New Const. On ly) ec an ca erm t ~LL TOTAL FEE Plan Check Bye ~ Minimum distance of structure from property lines: Issued By r ~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certif rytb~t I am a currently registered contractor in the State of Washington. '; ~i Signature ~ Date & ~'' ~...~,"" ~ - Quarterly Reports Firm: [1r,c-~ ve ~ ~ ~~ ~ ~ ~~ b °; °`«. t r~ G. Assessor~~ TRPC _/ ~ NtW UEVtLUf'MEN 1 / Nt W (;UN5 I !~U(; f IUN (:HEI:KLIS 1 SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If If Appllcabie Applicable $125.00 $1,000.00 ~9~. ~ ~~~~ Receipt # Comments '~ J PERMIT/INSPECTION 2 1 ~ ~ PER ERU HOOK-UP ~, ~~ 371 59~ 5y9, 5f~ X71; X33 ~ 9~~ ~ ~~7/ 5 ~3l ~~. 5D $30.00 _I~,v Puget Power 468-7731 Yelm Tele. 4b8-2171 rnGUa~ ~~ W.C. Fcc. ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Permit ~°_ 5 918 Date r ~ -` ~ -. (Work must be started wi hin 120 days) r~~ ~~~~~ ~~/~} ....X_i.~~''!c -~- N Name l ~9 ~'~~ ~ •i Phone ( ) ~- R ~ ~ ~~ Address ~ y City St. Zip Code Site Address ~ J~ P R Assessor's Parcel No. ~~ ~ Z ~< / t :J(f~ [~~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ ~ ~/ ,(/ / 'p ~ "~ N Name, ' Contact Phone ( ) 7 j- ~ l ! T Addres ~ ~ t ' ~(7j City St Zip Code a License No. ~CIfUG ~ ~ ~ 5 Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~~ ~~,~/ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r i l O h C Sewer Septic Approval No. ommerc t e a City Water Private Well Private System Shoreline Permit Y N ,teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ (~ y ~~ ~ Sets of Prints Plumbin Permit # Other g '~ ~D / '~v i l P i WA. ST. BC. Fee (4.50-New Const. Only) ~ erm Mechan ca t # TOTAL FEE ~" ~~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~` Signature ~=~ Date / /_~" ,- Firm: ti `~C~ ,l )l~: ~ c.,t_ ~ ~.J~:~ i -- ~ ~~'~ ~--~.:~ .. Plan Check B Issued By ~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor / ~ TRPC ~ ~ NEW UEVtLUNMtNI /NEW (:UNSIltU(:lIUN (:NtI:ItLls1 SITE ADDRESSs Permit # IF Appllcable Fee IF Applicable Receipt # Comments SEWER PERMIT $125.00 ;, PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC $1,000.00 ~'~~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS ~ ` _~ "WATER METER j., ~" WATER SERV. ORDER 7731 POWER PugeF Power 458- 171 TELEPHONE Yelm Tele. 458-2 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW >~j ~ ` ~` ?" ~j~ ~"E' `~ Y ~G z°5 ~ 5d BUILDING PERMIT PLUMBING PERMIT J p ~ ~ / 0 ~~'~ ~I~°~J ~r Y~J J~ ~v ~~'~~ w • C~ F~GG MECHANICAL PERMIT GRADING PERMIT ~ 7 ~~ ~~~ ~~ °J[.1l SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC.. I I $30.00 I ADDITIONAL COMMENTS S°~~ ~~~~~ ~~ ~~' ~~ ~lLl ~~ F~~~ +-n>>c nn~n onvnur ~ nR-nR Tn FINdI INSPECTION BY --. CITY OF YELM Building Pe mit ~® ~ g ~ 7 BUILDING DEPT. Date 11--I~- ~~~r.%' phone: 458-8407 (Work must be started wi hin 120 days) #r j'~~ / __ L J~i~...11 ~ ~~ 1 r _ ~ N j ' Name Phone( ) R Address City St. Zip Code ~ ~ ~~~ Site Address P R Assessor's Parcel No. ~ ~ ~ '7r l~~ fp~J(J Lot Size (sq.ft/acres) O A Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name `~ ~~ '~ Contact i Phone ( ) ~~ T ! Addres , City St. Zip Code r R License No. Exp. Yelm Bus. Lic. No. Description of Work '~ ~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential_ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '`?~ t!J Sets of Prints Plumbin Permit # l1' Other g _ ~ l P M h i i #S~ ~ WA. ST. BC. Fee (4.50-New Const. Only) , ec an ca erm t L~. L ~ r TOTAL FEE Plan Check By ~ Minimum distance of structure from property lines: Issued By s Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ' ~ Signature ~''~ __ ~s"' Date ~ / ! `_~ y [-~ Quarterly Reports Firm: i^'~ r..-f~.:~ J ~,;,~_., r f°'§";~ ( J Assessor-~~ TRPC ~ ~ ,/ NEW UEVELUI'MENI /NEW c;UN5lltUC;IIUN I;NEI:nLl51 -~ SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If If Applicable Applicable $125.00 $1,000.00 Receipt # Comments * , ~ PERMIT/INSPECTION 266.62 '.~p~l 59i~ I e ~~ ~oa 3 ~~ ~~z9 as6,5o ~ Syc~ iDN, ~0 3~ $30.00 PER ERU HOOK-UP Pugeh Power 468-7731 Yelm Tele. 468-2171 W.C. F'CG 5d ADDITIONAL COMh1ENTS ~~ ~~L,Q~ ~ ~~ F~le ~~u ~ ~~~~ CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin Permit ° , ~ 916 Date ~ ~'" ~ ~J ° ` ~~~~~ }.(-Work must bFe~started within 120 days) ~'C~ !~ ~.../ N Name ~ ~' Phone ( ) °~ E R Address , City St. ip Code ~ ~5 ~ ~ ' Site Address , ,~ , i"„{-6~C~C~~ ~- P R Assessor's Parcel No. ~ / ~~ ~ ~ f ~((Jt~ Lot Size (sq.ft/acres) O P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Nam ~ Contact Phone ( ) !, T ~ City St. Addres ~ Zip Code T R License No. -~ Exp. Yelm Bus. Lic. No. Description of Work ,~,,~ OFFICIAL USE ONLY ,i Permit Type: Sq. ft. per floor: (1st) (2nd) Residential_ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ Building Value , ~~ Sets of Prints it # J~ P Pl bi Other um ng erm ~ ~ ~ M i l P i h # ~( WA. ST. BC. Fee (4.50-New Const. Only) j , an ca erm ec t ~ ~~ TOTAL FEE , Plan Check By Minimum distance of structure from property lines: 1 Issued By Front to of Road Final Insp:_JJ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that 1 am a currently registered contractor in the State of Washington. ,.~ _.._._ _. _,_ --, f --__... _ _ Signature ' ~ ~, ~~~ ~"~-~--~ Date ~+ l`} C~~, Quarterly Reports " --..~ ,~ Firm: _...~.,.~ :~1..~4~~ ~. (,' ~,,,~ '~'~ ~.__'`~ . AssessorI/ TRPC I / f NkW UEVELUI'MtNI /NEW (:UNS11tU(:fIUN UHLt;ICUSJ ~` SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If If Applicable Applicable $125.00 S~tllo >~~~ 5~~ ~ $1,000.00 J ~~ ~./ 'v ~Z.S l 3.~, 5y ~7 • ~Q $30.00 Receipt # Comments 1 d1 PERMIT/INSPECTION -,-~~ PER ERU HOOK-UP Pugef• Power 458-7731 Yelm Tele. 468-2171 W,C~ Fc~ ADDITIONAL COMMENTS c~~E ~ ~~ >~~ IL-- u~l ~ ~ F~E~ - _~._~ ~.. ~..... ~a~nnc~+Tlr1Al OV CITY OF YELM BUILDING DEPT. 'hone: 458-8407 N Name ~ ~r"~j ~`'~~~°,~ E R Address , Site Address 71~~~~~p~ ~ ~?~ ~/~h ' a s Parcel No. Assessor 7 0 P a Subdivision T Y OR Short Plat No. Existing Structures, if any: N Name ~ ~ T Address f ~ ` A / ~ ) q ~ I irancw Nn i 1 ~ JI j~`1 ~/' 1'V ! !VI ~''° _ 1 Buildin Permit ° 5 915 Date ~ `~~ (Work must be started within 120 days) ~ ~~~~~.> 1 Phone ( ) "~r}JQ St. / / 1 ~Zlp Code `9 A' Lot Size (sq.ft/acres) Lot Block Block Contact Phone ( ) ~ (p - ~~l City St. ~ Zip Code ~~~ Exo. Yelm Bus. Lic. No. Description of Work ~ L,~ , ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value /~ , , Sets of Prints Other C Plumbing Permit # ~ J WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit #~ TOTAL FEE ' ~ AA Plan Check By .j .+t ro ert lines: Minimum distance of structure from Issued By p p y Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~~_.+ / Signature A ~~ ;~ ~ ~ ~- --~~-=~= Date ~ ~ ~ ~~ (o Quarterly Reports _ ---~ ~ Firm: mm... .~ l'-" "~. f~.l-J~:~~'~.:> ~~ ' Assessor~~ TRPC _~ -~ NtW UEVkLUI'MEN I / NkW t:UNS I ItUt:IIUN l;llkl:-lLls l SITE ADDRES5: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING Permit # Fee If If Applicable Applicable $125.00 $1,000.00 Receipt # Comments ~ ~ PERMIT/INSPECTION r~ ~-~~I 59/~ ~ 5~.~v ~ ~;~~~ i 3v, ,~ ~~~~ ~~• ~~ :X~U~~ PER ERU HOOK-UP PugeF Power 468-7731 Yelm Tele. 468-2171 ircaua~ ~- W,C. F'ct YELM BUSINESS LIC. $30.00 ~ J ADDITIONAL COMMENTS cS~ SLI~e ~I ~~~ t~~~ u ~~ ~~ CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Buildit~~ Pfe J it~a ~ ~' 4 Date t (~' (Work must be started within 120 days) 1/ - ) w Name f ~ 1 Phone( )~ ~- N R Address , City St. Zip Code ~~ ~~ Site Address l~~~ d~~~/~ ~ ~ '.Q P R Assessor's Parcel No. Z . ~`72'~~/ ~ (pQ(/ Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o ~/,~/ J ~ N Name 4° Contact l ,~cj-- Phone ( ) ~ + 1 T Address City ~ St. Zip Code T ~./ R License No. .-~ Exp. Yelm Bus. Lic. No. Description of Work d ~,~ OFFICIAL USE ONL Y Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value , Sets of Prints Other ~ Plumbing Permit # ,,`.1-'~ -~ Z~ ~ WA. ST. BC. Fee (4.50-New Const. On ly) ~ Mechanical Permit # ~~ TOTAL FEE Plan Check B Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the _.r, State of Washington. -- -_ Signature ~ ~' ` ;; ~ ~,T- ~~"~w' Date /~ ` ~' % b Quarterly Reports Firm: ~.~1".~' = `.` c. ; f - ,<" ~..';\ `_ ~ r Assessor_~~ TRPC ~ ~ NkWUEVtLUI'MENI /NtW (%UN511~U(;11UN l;fl~t;/ILISI SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If if Applicable Applicable 5125.00 /'~ 5 ~ ~~i ~~ 51,000.00 t~ ~ ~ ~ y r'n g~. ~r~ i ~~, ~C1 ~~,l5n 530.00 Receipt # Comments PERMIT/INSPECTION PER ERU HOOK-UP r~ Puget Power 46&7731 Yelm Tele. 468-2171 W.C. F'CG ADDITIONAL COMMENTS ~i~~~ ~L~~ ~ 1 ~~ ~ ~~~ u ~~ ~E~ __ _ ___ _ _.........,~~ra ,-~ C/AIA- -n-cp~rrrnN AY CITY OF YELM BUILDING DEPT. phone: 458-8407 .. , Buildin P rmit o ~ 9 7 Date ~f`~fJ~- , rI~ (Work must be started within 120 days) ;:~ '- 7 N Name ~i i `V a~i.. ~ r Phone ( ) r Gi " E R Address ' , City St Zip Code ~ ~ %~ Site Address , Cam- C../ P R Assessor's Parcel No. ~~ ~~ 7 ! ~~ lpf~r~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ) ~ ~/ ,l ~~ ~"' ~ N Name Contact Phone ( ) T / j T Addres ~ City , St. Zip Code T a t... License No. ~ (j Exp. Yelm Bus. Lic. No. Description of Work , ~/ , , 'f ~ -~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ' , ~ ~ ~a Sets of Prints Other y'~-~ ~,~ Plumbing Permit #~,L~C..~~ ~ ~ P i / WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical erm t #a TOTAL FEE , `j (J Plan Check B ~ , Minimum distance of structure from property lines: Issued By Front to of Road Final lnsp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~,~~~~ '~, ~ _~ Date (( /S ~/ ~ Quarterly Reports Firm: ~ i,~}r~.,j ='''=- ~- ~~ ~~~~ C t~_-~FJ, AssessorJ~ TRPC ~ ~ NrW UEVtLUI~MEN1 / NEw (:UN5-1{U(;IIUN CIfEU-clasl SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL Permit # Fee If Receipt If Applicable Applicable # $125.00 ~~ 16 $1,000.00 '~ STREET CONSTRUCT ~~ Comments PERMIT/INSPECTION PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 ~~ ~` ~© .r PLAN REVIEW ~ ~ 1 J ~o ~G~~ ~~' (~ W . C~ F~C , BUILDING PERMIT 5'~~~ j ~~' ~~ "Z~ PLUMBING PERMIT MECHANICAL PERMIT ~ ~ ~~ ~ 7 ` ~`f GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS ~j~~ f}~~.CN~~ ~~14"~~GV~ ~(~~.- (,~.~~~~ ~ F~~ *r,r r~ ~ ern on vn nr C nn-nn rn FINdI -NSPFf _TInN BY CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name (~ ( " i N E - ~ R Address ` , Site Address ~~~~~ ~ " a Assessor's Parcel No. ')~ o - R Subdivision ~ ~ j-',~ 1 r Y OR Short Plat No. Existing Structures, if any: c F N Name %` , r Address , ~, t Buildin Permit ~ 0 5 912 Date "' ` `' ' (Work must be started within 120 days) ~ J ~~ Cifv `~ ~~/1? YL'1St.~/ h7Zia Code I ,~l.~~d if Lot Size (sq.ft/acres) Lot ~~~ Block Block Contact Phone ( ) , rt St. Zip Code ~~~~ a License No. Exp. Yelm Bus. Lic. No. J,,7 Description of Work ;J '~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ; , ~„ ~ ~~ Sets of Prints - Other , y Plumbing Permit #-`° WA ST BC Fee (4 50- New Const Only) , (,~ Mechanical Permit # ~ ~~~ • ~ k TOTAL FEE ~ ~ Plan Check By ~ ;. t ~ Minimum distance of structure from property lines: Issued By ~ Front to of Road Final Insp:l_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature , ,;,~' ; ~ r ; ¢ , '`~ ~!~ -~,:~', Date ~/` ~ - ^ r' Quarterly Reports Firm: Assessor J l ____ TRPC ~ ~ NEW UEVtLUY1NEN l / NEW GUNS I ItUC:-IUN CIIEl:1cLiS 1 SITE ADDRESS t ~~'/~~~ ~~/,~_ ~~, ~L( ~ SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURB3 LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS *nr ~c n ~-n nn VA D/ c Ddl!'lA Tn FIAId Permit # ~ Fee If ~ Receipt If Applicable Applicable # $125.00 $1,000.00 ~~,i Comments PERMIT/INSPECTION PER ERU HOOK-UP 390, oo ~ ~Dd.Od (O `7 • Z.~ 5~zy ~i r~ od $30.00 IAISPF('_TInN BY Pugef' Power 458-7731 Yelm Tele. 458-2171 =nc~ ~'S ~ 5d W,C, Fc~ ~~ CITY OF YELM Buildin Permit ~° ~ $ 7 $ BUILDING DEPT. Date ~~ "' ~ - ``~,`.~`' phone: 458-8407 --~_~ (Work must be started within 120 days) N ~r ~ ;r ,6 ~~ ,~ Name .;,•-~ ~ .~ Phone ( )_y Cpl ^' .-~' / E R Address ~ City St. ' Zip Code ~ ,. / Site Address `r' 'ti ,, '~~ ~' (-' ,' `' a Assessor's Parcel No. Lot Size (sq.ft/acres) , R Subdivision Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: N oo Name ~ ~ ,! ~ 1 Contact Phone ( ) T Address City St. Zip Code T a _ License No. r- ` ~ Exp. Yelm Bus. Lic. No. Description of Work '' % . : OFFICIAL USE ONLY Permit Type: ~ f Sq. ft. per floor: (1st) (2nd) , Residential! Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / ~p~ `~ ~~ ~~~ ~ ~ ~ Sets of Prints ~ :~ P i P y Other r ~ erm lumbing t #- l ~ '~ ~ ~ ,~}t ; M i l P i y~~ WA. ST. BC. Fee (4.50- New Const. Only) , echan ca erm t # CL~+.L TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. , • , Signature ~.. ~~ r ~ . ~ _ < ~ ~ r` <~ ~~ ~._ Date ~1,/ - ~ , Firm: Plan Check By. ~,~ -~ Issued By `~~ Final Insp:/__/ Owner L&t Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor ~ J TRPC ~ ~ NEW UEVELUNMEN l /NEW t;UNS l 1tUt; I1UN c;NEC;ICLIS l SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC X Z, $1,000.00 5rn 4/ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 7 ~~ ~ ~ G~ ~ 6~ !~l(PL~n WATER SERV. ORDER ~. ~~(jQ, ~~ ` ~ ~~u S POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~ ~~ ~~ ~~~U BUILDING PERMIT ~O O / / U ~~~ Ync1 z°5 , 5d itJ. C~ F~Ge PLUMBING PERMIT ~~ 1 ~ p C ` `~ / ~ `~~ :' MECHANICAL PERMIT ~'~j,~iJ ©(s7i ~~ `~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS ~, ~ T~ ~.~~~ L~ ~ ~~GS •- ~~(,~~~ ~ 1~ / *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Permit ,~°.. 5 ~ '~ '~ BUILDING DEPT. Date T ~`- ~hone: 458-8407 --, (Work must be started wi hin 120 days) w Name ~ Phone ( ~) ~ ~~~ E ' ~ a Address City St. Zip Code Site Address ~~ ~" '~ a Assessor's Par No. ~ Lot Size (sq.ft/acres) o a Subdivision ' C . Lot "~ Block r Y OR Short Plat No. Block Existing Structures, if any: c o N Name / Contact Phone ( ) T Address City St. Zip Code ~ ~ / j ~ ` ~ a Exp. Yelm License No. Bus. Lic. No. 1 f . ~" ~ Description of Work '' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~ ~ ~ ~ Sets of Prints Other r Plumbing Permit # ~ .-~ l P M h i it #J WA. ST. BC. Fee (4.50-New Const. Only) e ec an ca erm p TOTAL FEE f Plan Check By ~ + ` Minimum distance of structure from property lines: Issued By ~ r r Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ' _, ~ Signature =-f/'~,T--~ ~~f~ Date Quarterly Reports Firm: ,,.~'~ ` ~ f ~'~ <' Assessor~~ TRPC ~ ~ I~ T/ :,s' NUW UEV~LUI~MEN - /NEW GUNS I tiU(; l IUN (;HE(;KLIS I SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS ar~i~~ w11-f1 rf/1VA0/ C Permit # If Applicable Fee It Applicable Receipt # Comments $125.00 ~J , / ~~ PERMIT/INSPECTION $1,000.00 I~ PER ERU HOOK-UP 3 9~, 0~ ~~a'~ 7731 458 - PugeF Power Yeim Tele. 458-2171 ~~~~ ~~~i (O~ W,C, Fce ~r~ "~ ~J ./ Cls~ ~I /~ i~~ / VV °~ ,.../~ ~'~~~ fir, ~~ ~~?~~ $30.00 PFCTInN BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 _- ~,~ Building Permit ~° 5 ~ 1 d Date ~ ~ - ~ - ~~ ~'~ `~ (Work must be started within 120 days) w -- Name s, '~ ' , , Phone ( ) ~~ -- (,~ ~ E R r'"1 1 Address ~` t City St. fyti Zip Code Site Address ,/ ~ P f~ Lot Size (sq ft/acres) Assessor's Parcel No~ R . p P ~ a Subdivision ` J Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name '' Contact Phone ( ) r Address City St. Zip Code T a ', l ,~ License No. Exp. Yelm Bus. Lic. No. Description of Work ~:~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ''~ ~ ~~ U(,1 Sets of Prints Other ~'~ ~ Plumbing Permit #-L~~~r~.r WA. ST. BC. Fee (4.50-New Const. Only) ! ~(~ Mechanical Permit TOTAL FEE ~ Plan Check B~. ~ Minimum distance of structure from property lines: Issued By ~ ~ Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted__/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature f '`~ Date : ~: ~° f °~ Quarterly Reports Firm: Assessor~~ TRPC ~ ~ 7 ~~ NEW UEVtLUI'INENI /NEW (:UN5112U(:IIUN t;11E(;ItLISI ~-1 . _ n SITE ADDRESS: ~V Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~` ' ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCE8S & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~} /w ~`7 (1- t~~ WATER SERV. ORDER ~~~, ~~ 7731 58 ~ POWER - Power 4 Puge1 2171 TELEPHONE Yelm Tele. 458- STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW I ~ ~' ~~ Y Ica z°5 , 5d BUILDING PERMIT J~ ~~ ~v ~ ~ ~' ~~ ~`C~ ~c~ PLUMBING PERMIT 5~) G ' ~/~ ~`-~ MECHANICAL PERMIT ~j 7 Z~ ~l ~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY 4 CITY OF YELM Building P emit ~o ~ ~~ ~ BUILDING DEPT. Date 'hone: 458-8407 ( rk must be started within 120 days) cC~~C~ _~~~9 w N ' ~ Phone ( )'~ ~~ ~ ~~j~f ame j ~ R Address ,~ City ~ St. Zip Code ~ ~ ~ j ` Site Address ~~ ,~ ~~,~ (' , ,~,.( P R Assessor's Parcel No. ,,~ Lot Size (sq.ft/acres) O a ~ Subdivisio `~' r'` Lot ~ Block T ~ OR Short Plat No. Block Existing Structures, if any: N Name ~ Contact Phone ( ) T Address City St. Zip Code T R License No. ~,,,~ ~ Exp. Yelm Bus. Lic. No. d Description of Work ° ~ OFFICIAL USE ONLY 0 Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ 7 , tGJ ;~ ~ , ~~ tJ Sets of Prints ~~'' ,,,,~~ ~~ ~~ Plumbin Permit #~ Other g ~ ~~ iZ~ WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # TOTAL FEE 1 , (~ Minimum distarCt' of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washin~tSri. , Signature ,r Firm: ~' t Plan Check B f Issued By Final Insp:JI Owner L&I Form Assessor Floor Plan and Permit Submitted!I Quarterly Reports Assessor~~ TRPC / ~ NEW UEVELUNMEN 1 /NEW (:UN5! fZU(; f IUN (:ffEl;f~LIS l SITE ADDRESS: /,~j"'J,/~ ~~j''j~ __ ~~ ~~~ SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS an~tc nA111 DAVAR- ~ Permit # Fee it Receipt If Applicable Applicable # $125.00 $,,000.00 ~~~j :3~0,0~ ~d C9 t ~~ %'~ ~; ~`~ 59~ 9 5~9~9 ~~ jD l~ G.~ / V / Y ~J {r" d~~'2 % ~ 1, ®D $30.00 f'INAL INSPECTION BY Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 Y nca i°5 ~ 5d W,C, Fce CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building~Permit_Nat' ~ 9 Date ~ t... ° f `:a" ~~~; (Work must be started within 120 days) w Name ~ ~ 6^ 1 .:, ~ ,~ Phone ( )'~, ~- "i'~ R Address ~ ~^ + `` ~ City ~~ '~ ~, j St. Zip Code f ~~,,~ ~ Site Address p a ti ' ~ ~ ' j ~~~ R Lot Size (sq.ft/acres) Assessor s Parcel No. ( ~ jt~ ~~ 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N r^ Contact Name / ) ~~ '~ ` ~`~ r~ s'1 ~() ~ / ~ Phone ( ) 1G ~ ~ . , `~ ~ / St. % City Address ? Zip Code r f ~ ~~~~ `~ ~ R Yelm j Exp. License No. Bus. Lic. No. ,, Description of Work ~ 9~ ~ /f %j~ ~ ~~'. OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential 'Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ' , , ~ Sets of Prints ,~~~ ~- Pl bi Pe it #~~ Other um ng rm WA. ST. BC. Fee (4.50-New Const. Only) / s ~ Mechanical Permit ~ TOTAL FEE ~ ,,~r ~'+ f~ Plan Check By<-• < < ~.+~ 1 Minimum distance of structure from property lines: Issued By ~ Y' li Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~I ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. f !°'; Signature j~,;°'~F~ ~~~y~~~~~~J, Date/,~, /.S^ 7~C~ Quarterly Reports Firm: ~ ~` ~v i~ ~,..,._. ~V;` ~rw`.''.~ "a~`GR (" "'a't1~ c.I Assessor~~ TRPC _~ / G' !~ J _. NEW UEVELUI'MEN 1 /NEW c:UNS I IlUI; f lUN c:1fr~-cus 1 SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL Permit # IF Applicable Fee If Applicable Receipt # N Q. $125.00 A1'1 ~ $1,000.00 -~, / V, STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~ ~.~a ~~~ ~~I d ~ .5~~ ~~ ~ ~- /v~~ ~1~.' $30.00 ADDITIONAL COMMENTS *n--F aNn PaYae~E PRIOR TO FINAL INSPECTJON BY Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 =nal~z°5 ~ W,C. F'ce CITY OF YELM Building mlt ~° 5 ~ ~ BUILDING DEPT. _ Date 'hone: 458-8407 (Work must be started within 120 days) /"Y ~~ ~ ' w Name Phone( ) E a i' ~ Address "y '9 ~ City f~ -/ St. Zip Code Site Address '~~~ ( R Assessor's Parcel fJo. ~,~, ~ f ~~ ~ ~ ~i (,Y' Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block xisting Structures, if any: "` ~ N N me ~' ~ Contact Phone ( ~ j~~~ T dres ~ ~~ ~~ ,~ ~~,~ City Code T ~ ;~o.,~o N~ Exo. Yelm Bus. Lic. No. Description of Work ~ ~ / ~ ~ ` (% OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial~Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ,~,i~ , a , Sets of Prints ~ Other ~ Plumbing Permit #_~~ WA ST BC Fee (4 50-New Const Only) '~, Mechanical Permit # TOTAL FEE ~ ~ Plan Check By ~~,f ;~ ~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including th a governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of re r If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washi on. ~ . ~r `"^ Signatur ~ .-^~, ' ~'~fi ~R.....~C-t...~,,.- Date Quarterly Reports O ~ Firm`. (~ Assessor J ~ TRPC _~ ~ NEW UkVELUI'INEN 1 !NEW t;UNS 1 RUI; IIUN t;HE(;nus 1 SITE ADDRESSs Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~ ~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~'(~ ~. $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER /~ WATER SERV. ORDER ,/~ 7731 POWER Puget Power 458- 2171 TELEPHONE Yelm Tele. 458- STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~' ~`~ ~~~ ' ~ UILDING PERMIT B ,~g~r,~i ~ ! r 54 ~`~ (.ll `` L' ~ e PLUMBING PERMIT ~T' MECHANICAL PERMIT 5' j~~~ ~~ ~ ~~ ~..~/~~~-~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *n-~~ nn-n PavQAt_E PRIOR TO FINAL INSPECTION BY CITY OF YELM Building P rmit N°_ ~ g ~ ~ BUILDING DEPT. Date ~C~ ~ ` % `"% „' phone: 458-8407 (Work must be sptarted within 120 days) y/ _. ' .~ w f" ~' T Name ~ .....,4 Phone ( ) ,.. N R . 1 Address f ~ ~ (city J ~ ip Code ~ w~ Site Address t ~ ''~ ~"7 (~ P R Assessor's Parcel No. Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N ~:,~.~ a e '~ ~ ~~ '"} ~ Contact Na Phone ~ ) ~ ( ~ m , Address / ~~ City ~~ ;1 + St. ~ Zip Code c ~ tp T a ? License No. ~ ~, ) '~ Exp. Yelm Bus. Lic. No. Description of Work ! . ~ ~ ~ ~' ; ~ ~ ~ ) ~ OFFICIAL USE ONLY °~..j Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Other Commercia City Water Private Well Private System Shoreline Permit Y N Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r t Sets of Prints Other ~ f ~ f~ Plumbing Permit #_~,~ WA. ST. BC. Fee (4.50-New Const. Only) ,, ® Mechanical Permit # ~ f /1 ~ ¢ TOTAL FEE Plan Check By J ~/~ ~ ,~ Minimum distance of structure from property lines: i Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-./J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of re rd. If applying as a contrac or, I further certify that I am a currently registered contractor in the State of Washifigt n. // `~~ ~ Date ~~ 1-- ~( Signature ( '` Quarter) Re orts Y p r Firm: ~ Assessor~~ TRPC / I ~/ 1 NEW UI=VJ=1_UNMEN 1 /NEW i:UNS 1 ilU(; f lUN (;HEi;lil.IS 1 SITE ADDRESS: Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT ~"Q $125.00 PERMIT/INSPECTION I't SEWER LATECOMERS WER/SEPTIC " ~ ~ $1,000.00 PER ERU HOOK-UP SE SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV.ORDER /~ Pugeh Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATE/C0. APPROVAL STREET CONSTRUCT 1 / !-Y ~' ya ~ ~~ PLAN REVIEW _~~ Z°5 X50 RMIT /, J 7 ~~ ~Z~e ~~ 3 0~~ W • C~ [~G~ BUILDING PE PLUMBING PERMIT ,M MECHANICAL PERMIT J ~~ 5 6 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS +~n„c nnrn anvnur ~ pR1nR rn FINAI _ INSPECTION BY CITY OF YELM Buildin Permit ~° ~ q ~ 2 BUILDING DEPT. Date ~~ °~~~" ~€ L phone: 458-8407 (Work must be started within 120 days) ~'~C:~ ~l N Name ~ '~~ , ~ ' . ,~ Phone ( )' j~" R Address ~ City f ~ St. ip Code Site Address f ~ < ~~ P R Assessor's Parc I No. ,~~ ~ Lot Size (sq.ft/acres) O a Subdivisio 4 ', ~ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: Name `~ Contact Phone ( ) T Address City St. Zip Code License No. Exp. Yelm Bus. Lic. No. ~~ ~ Description of Work '' ~ - OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ , ~ Sets of Prints ~~ ~~ ~~;;~~ Pl bi P it # sJ~L Other erm um ng _ ~ ~ '~ i l P M h it #~~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ( erm ec an ca TOTAL FEE ~7 J~,~ a Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Firm Plan Check ey- .Q e ,f Issued By Final Insp:/J Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC / ~ NEW UEVtLUNINENI /NEW (:UNSIrtUClIUN (:Ht(;ItLISI SITE ADDRESS: '~ r ~~ ~~ Permit # ~ Fee IF I Receipt I IF Applicable Applicable # Comments SEWER PERMIT $125.00 ..X ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 39(}; ~'~ ~L~ WATER SERV. ORDER ?~~; ®~ C~L~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~' ~~ `~ Q C~ /~ ` / ~= v~r 1 i°5 , 5d BUILDING PERMIT J~O~ lOf~~S~ ~1~ t~.C~ F~G~ PLUMBING PERMIT S~ ~~ ~3' Qd ` `~ ~ C MECHANICAL PERMIT ~ 7I 7' 7c1, ~D~ /l ~~ GRADING PERMIT _ SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY i CITY OF YELM Buildin Permit ~a ~ ~ ~ ~ .BUILDING DEPT. Date ~~J~~ ~ `f hone: 458-8407 (Work must be started within 120 days) w Name ~ f ~ F" e ~ _ Phone ( ) ~ .- N E R ~ Address ~ City r St. ip Code ~ Site Address a Assessor's Parcel No. Lot Size (sq.ft/acres) o a ~ Subdivision ~ Lot `~ Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. 1 Description of Work OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other r,... City Water Private Well Private System Shoreline Permit Y N J t-~ eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N `~ ~ Building Value , ( Sets of Prints //22 ~~~/~ Plumbin Permit # L~~+s-' Other g _ ~ M h i l P i ~~ ~ WA. ST. BC. Fee (4.50-New Const. Only) an ca erm ec t #! 1.L ~ TOTAL FEE ~~ Plan Check By ~ ~ Minimum distance of structure from property lines: , r Issued By ~~ '~ Front to of Road Final Insp:_~ J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submittedl~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the ~, State of Washington. -~~=~, j t Signature - '~ , l Date / - 9' Quarterly Reports Firm' f"~ .~_ i _ .,~ ~a is A, .'t ~°" "l~S .-~.,.,.- ~..,...,.___ TRPC ~ ~ ~~ r a~, NEW UEVtLUNMENI /NEW (%UNS1ItU(;IIUN c;HE(;KLIS1 SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~~ ~/ PERMIT/INSPECTION SEWER LATECOMERS "SEyVER/SEPTIC $1,000.00 ~~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS R ° "WATER METER ~9D ~ DD 7 ~ ` ~ 4 ~ , .J WATER SERV. ORDER `~~(/ ~ ~D r 468-7731 h P POWER owe Puge 2171 8 TELEPHONE - Yelm Teie. 45 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW UILDING PERMIT B ~~~~ ~~ ~ / ~~ ' ~~~" ~D ~ W C~ ~ e I ~ PLUMBING PERMIT 5"3Z6 ~~' DD ~( ~~ MECHANICAL PERMIT ~"Y ~~ ` ~' S~ ~~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS +~nl/C nnln f7dVdRf ~ $30.00 r-/n-AL INSPECTION BY ~:, ..~ CITY OF YELM Building Permit ~° 5 9 ~ 4 BUILDING DEPT. Date ~0-. ~1 - ~~ ~h°ne: 458-8407 (Work must be started within 120 days) ~t ?~ w Name ? rr'f, Phone ( ) N E R Address City j St. ~ Zip Code J Site Address ~~ ~~ ~'"~',%/~( ~-~~ ` a Assessor's Parcel No. rJ~ ~~1,~/'~ ~~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Nam ~` ~~ ~ ~ /' Contact Phone ( ) ~~' ' ~ T ~ Address , ~ Cit ~ rl St. • Zip Code ~i?~ a° ~''r ~ Exp. Yelm Bus. Lic. No. License No. Description of Work ~ ~- ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other .- "° ~ ~ , / Plumbing Permit #~ '~ i M i l P it # h WA. ST. BC. Fee (4.50-New Const. Only) an ca erm ec ~ r" .+ TOTAL FEE Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~ ~; .,~. ~-~_ ~ Date ~ "'~"f ~ Quarterly Reports Firm: ~' ~ ~ ~ .~.- . Assessor~~ TRPC ~ / a CITY OF YELM 5 ~ ~ ~ Buildin Permit ~ ° . BUILDING DEPT. ~ ; ~ Date ~--~~° ~hOn@: 458-8407 (Work muses t b rted within 120 days) jjj{v j l//J/, w / n " l ~ J Name f i ( ~ ~ ~ r~. ~ ~} ~ Phone C%` ~) '~ R Address ~~+ '~ ~ ~ ~/ City ~ ,~ St. ip Code ~ ~ ~ Site Address f/ %? ~ i '~ ., a Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name 1 '~ ' Contact Phone ~~' ) T ~~' "i~ ~ '~ ~ {~ Addresses f City St. Zip Code T °a License No. Exp. '~ Yelm Bus. Lic. No. ~ Description of Work ~ '/ ~ 4 ~ ~ ~ ~ ~ `~~X T ' ~ OFFICIAL USE ONLY i Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. } ~ ~ y; `~Cbr~rnercfal Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y .N Building Value Sets of Prints Other , r, Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) s~ J ^~t ``~ Mechanical Permit # TOTAL FEE Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:l~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ' ~; Signature -~` ,,.,. ; ~., ,. ,-~ ~ ~ ~ ` -..~-_...~~ Date ~ "~!"'~ ~~ Quarterly Reports W_ _ ,.. Firm: ~ I ! ~-~ - - i,;' ( ';' ~ Assessor~~ TRPC ~ I CITY OF YELM Building-P rmit ~p ~J ~ ~'~ BUILDING DEPT. Date ~~~ / ~ ~~ Phone: 458-8407 ~ (Work must~besta~rt~e within 120 days) N Name ', ~ Phone( ) E ~~ R Address ~' C' ;'', St. Zip Code ,(/ Site Address y / a Assessor's Parcel No. ~ f 7 ~ ~~1 / f/~~j Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ;~ ' Contact Phone( ) T R ~ Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. i Description of Work - OFFICIAL USE ONLY is Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ?, -.r Sets of Prints Other ~ - ~ ~ Plumbing Permit # / .~~ ,// `'~ WA. ST. BC. Fee (4.50-New Const. Only) a Mechanical Permit # J'~ ~ TOTAL FEE 11 `Y (~ ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. re Firm Plan Check B Issued By Final Insp:J_~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports AssessorJ~ TRPC ~ / CITY OF YELM BUILDING DEPT. ?hone: 458-8407 Building;Pjermit ® ~ 9! '7 Date ? -~ 4 (Work.~must b started within 1 0 days) N Name ~~ '`~ '~ , __ _ . _ ~._ Phone ( )'~, ~ E R Address '~ ~ City '~ ~ ~ St. Zip Code ~,~ ~, Site Address ~ J a Assessor's Parcel No. ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ' r ~' JContact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ •l ~ r I '' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ .~ Sets of Prints Pl bi Per it # s~ Other um ng m - WA. ST. BC. Fee (4.50-New Const. Only) , ~ (~ 1 ~ Mechanical Permit # TOTAL FEE ~ ~ Q Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: Plan Check B '~ ~ % Issued By ~ t Final Insp:II Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor~~ TRPC ~ ~ NEW UEVELUI'MEN I /NEW (:UN51/1U(: IIUN (:HELKLIS I SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If If Applicable Applicable $125.00 $1,000.00 Receipt -~ (O # Comments 12 ~ PERMIT/INSPECTION ~ ,~ I PER ERU HOOK-UP ,~ ~~Q ~ ~~ 3~ ~ 'fi J 7 f'~E=~ 7~. y3 ~~1~ lv~ ~+ ~© 518 9~. G~J 5"y/~ y5.5U $30.00 Puget Power 458-7731 Yelm Tele. 458-2171 = nil udL°5 Y. 5d W.C. F'ce ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin rmi ~ {f~, J Date ~ '~ 'j (Work must be starte within 120 days) Site Address / a Assessor's Parcel No. ~ ~ '`~ ~(~ ley ~ ~ ~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ~ ~ Name: ~ ~ ,' ' ~ Contact ~ j~, Phone ( ) .. ~ c~t Address i ~ i Ci t. Zip Code '~ `~ T °a License No. ~- -~ ~ ~ Exp. Yelm Bus. Lic. No. i' Description of Work , -- OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r O Sewer Septic Approval No. Commercial the City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~~ ~ ~ Other ,J ~ `--j~, ~~ / ~ Plumbing Permit #_!!~t`_ {_ ~ "' / ~ WA. ST. BC. Fee (4.50-New Const. Only) ;a j Mechanical Permit #.~ s5 ~ ~ ? r TOTAL FEE ' C Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: Plan heck Bye--- ~y ~ ~ ' Issued By ~~ ~~U ) '~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor ~ J TRPC ~ ~ CITY OF YELM BUILDING DEPT. 'hone: 458-8407 w Name ~r N E R C d Address , City o e St. ip Site Address ~ 'l ~, ~ ,~ P R Assessor's Parcel No. ~~ Lot Size (sq.ft/acres) O a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c ° ~ ~ ~/ ~~ ° N Name Contact Phone( ) Ytp T ~ 5 Address ~%, , Cit t. Zip Code T /~(f` a License No. Exp. Yelm Bus. Lic. No. / / ! Description of Work ~4,~. ~J ~ OFFICIAL USE ONLY _ ` Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~ ~ 0~ ~ ~ Other ~ Plumbing Permit # / ~/ , ~^~ Mechanical Permit #r +~' WA. ST. BC. Fee (4.50-New Const. Only) ! / ~ ,~ ' TOTAL FEE Plan Check B~.- - ,J~ ` ' Minimum distance of structure from property lines: ~i (j Issued By r Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ s` 6r I Signature _ D ;Y;r'~'r\~ y~ Quarterly Reports rr~ Firm: ~ • ,.,,. Assessor_~~ ~~ TRPC _~ ~ Building Permit ~°_ ~ $ 9 7 Date ~ " /~ ~"" `~~ (Work must be started within 120 days) Phone ( ) R7 ~t~' ~z~`7' CITY OF YELM Building P~mit ~°_ ~ 8.~. BUILDING DEPT. Date ~, phone: 458-8407 - e d within 1 (Work must be sta rt 20 days) ~ r} ~ ,~ ;'_ Name ~ Phone ( ) J ~ ~ ~ Lam' N ~ i. E 1 ,-" ~/ R Address ~ ` City St. Zip Code ~ ~,~ f t, Site Address P R Assessor's Parcel No. '~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ ~ "~ ~ Contact Phone ( ) r Address City St. Zip Code T o ~ franca Nn ExD. Yelm Bus. L'IC. No. 9 `,~ e Description of Work ; %'` ~ OFFICIAL USE ONLY ~' Permit Type: l Si n R id i Sq. ft. per floor: (1st) (2nd) g es ent a Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ` ?~ 1 ~ Permit #~~ Plumbin Other g WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ' TOTAL FEE i ~ Plan Check By. ~ Minimum distance of structure from property lines: Issued By f r Front to of Road Final lnsp:~_/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applyi as a contractor, I further certify that I am a currently registered contractor in the State of Washingto i ~,, Date ~ Signature ~ ,~ ! ~ ~ ' ~ h , • c~ ~ O / tJ Quarterly Reports Firm• l ! w_______ TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 °w ,/ ~ r Name q~• N E R Address 2 ~~ >f Site Address ~~ ~ a Assessor's Parcel No. Z ? ~ (~ ~ ~ ~ Cp Lf "7 ~~%' ~,~" 0 P R Subdivision T Y OR Short Plat No. Existing Structures, if any: o N Ja ,,. Name Contact T / ~y~y f J ~ / y Address ~'3t ~ ~ 1 ~.lj'L.^t:'' ice, a License No. ; }/~.~~~s'"~.~E+~~i ~ ~ T Buildin rmit ~~/ 5 ~ 5 Date ~ ~~` (Work must a started within 120 days) ~~ Phone (~) ~~ ~ Q~/s 7,~"Y~/ St.~/)~ Zip Code ~~/f~ j` (~~,~ (~~ I Lot Size (sq.ft/acres) Lot Block Block Phone (~CXp) ~ //-~f City ~ St. Zip Code~(f~7~ Exo. Yelm Bus. Lic. No. Description of Work ~ r~ 'l ~ - ~ i OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. CommercialJ~ Other City Water Private Well Private Syste m Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value 2 7 ~~ ~ , ~ ~ , ~ Sets of Prints Other Plumbing Permit # ~ d ~ WA. ST. BC. Fee (4.50-New Const. Only) `~, ~ / ( / Mechanical Permit # l ~3 TOTAL FEE ~ Plan Check B ~/ 0 Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of to 11 Signatu e • ~ D~ta+ ~~„ Quarterly Reports Firm: ~'. 1l1-i.~-. In ~1~.c-~C~!! ~'--- •~-~ AssessorJ/ TRPC / ~ NEW UEVkLUNfNEN f /NEW GUNS 1 flU(; f 1UN CHE(:ftLIS 1 SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~, ~ $125.0 ~~ ~ PERMIT/INSPECTION SEWER LATECOMERS ,+- 9 I ~ "SEWER/SEPTIC ~ ~ ~ C ~ (st. S SITE PLAN ~ ~• ~~ ~~ PE ERU HOOK- ~,~ Dfi-TE ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS ttT" TO $~ 155UE "WATER METER ! 1~~ ~/ ~ ~~~ ~(,~ ~ I . f.~`I!=`l~. DRTE TD 8~ 15Sc[FD :~'~ WATER SERV. ORDER ~ ~ 5~ ~~~ ~S '~~ ~,5~', ~~ ~ ~ TE - POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ I~7 a ~5 `=v~cl t°5 , 5d BUILDING PERMIT ~ 5 ; ~~ ~ Z~:3~ ~5~ ~ w` C. F'CC PLUMBING PERMIT ~~~~ / ~ 7F. SD MECHANICAL PERMIT ~~f/~ ~ ~C~~ 5~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~, ~ /~ ~P~ l/~ $30.00 ' ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name / ~ ~ `~ ~ N E 1 / . a T %1 Address T Site Address ~ '~` a Assessor's Parcel No. ~ ~,~ ~~~ ~q ~ _ ~ 0 P a Subdivision T Y OR Short Plat No. Existing Structures, if any: o ~ N `% Name , Contact T Address ~ ~ ~ !~ (( j-- / J /~ ^ y J 'y ~'}'' Minimum distance of structure from property lines: Issued By / L~ Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. a°^--"'4 Signature '4~-~-'~"~ ° ,...,..,...~..--~ Date Quarterly Reports 1~!~'~'~.`. Firm: ~-~„-, ~acw ~f'L.c~c.L..' o;,,,~ ~h Assessors_/ TRPC ~ ~ '~ Building, rmit ~,° ~ $ ~ 4 Date ~ ~~' L `~ (Work must a sta ted within 120 days) ~~~~~ i ,~,c,~ Phone ) City V ~/ ;DAUB St.i / Zip Code t-~/S ~. ~"Y Lot Size (sq.ft/acres) Lot Block Block Phone ') ,(/ City St. Zip Code ~ j I Exp. Yelm Bus. Lic. No. Description of Work a• /f l ~ ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value , Sets of Prints Other Plumbing Permit # ~ r WA. ST. BC. Fee (4.50-New Const. Only) ~ < Mechanical Permit #~/--z-L-C1-, TOTAL FEE Plan Check B NEW UEVELUi'MENi /NEW LUN5IKU(:iIUN LHE(:KLIS/ SITE ADDRESS: Permit # ~ Fee If ~ Receipt If Applicable Applicable # SEWER PERMIT $125.00 SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~"7 ~ ~Q BUILDING PERMIT ~ ~~~~ '^~ ~ /' ~~ / PLUMBING PERMIT 531 ~ ~ 7, ~4 °~ MECHANICAL PERMIT ~"7 ICS ~~~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING ~~ b~ YELM BUSINESS LIC. ~ ~ $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL 1NSPECT/ON BY Comments PERMIT/INSPECTION U t3C l~SUFA ~~ PugeF Power 458-7731 Yelm Tele. 458-2171 W,C, Fce CITY OF YELM Building- rmit ~-~ 5 ~ ~ 3 BUILDING DEPT. Date ~-% `~, ~-``' ~'` phone: 458-8407 rk must b (W start d within 120 days) o t..,.: w f~ 1}, Name / i ' ~?r , ,~ t_..• LJ Phone ( ) N a Address d ~ f ! ~' " St. Zip Code %"'` O Site Address a R /~ Assessor's Parcel No. ~ ~ ~ ~ Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N '~~ Name '~ ~~ Contact Phone ( ) I ~ °~ / 1 ~ T Address ,~ i'.~ ~ ~ City St. Zip Code r ~ ~ franca Nn M G ~ ~" :'1 f' ~-- /4 ~1 ~j~ ~ Exo. Yelm Bus. Lic. No. Description of Work f ~~ `~ ' ~ OFFICIAL USE ONLY , Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ ~ Plan Check By, - .f r '~ Minimum distance of structure from property lines: Issued By ~ i Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington...-_ ~-~". Signature ~.~ -------~-°"°`w-•--- 4"-"'"~~~~ ~~ u Date' %<,~, ' Quarterly Reports Firm: Assessor J J TRPC J J CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rmit ~® 5 ~ 9 ~ Date ~ ` ~~ `~ ~~~ (Work must be started within 120 days) ;'~ `~': w Name '~ F. ~ ~ T ~:~ __... Phone( )'~/~ --~ a Address , ~~ r City f St. ip Code Site Address ~ ~j a Assessor's Parcel No. '~ ~ ~L/ ~ ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~ -- OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,fJ ~ ~ ~ ~ Sets of Prints Other Plumbing Permit #_~ ~ ~ /- J M h i l P it # > +~ WA. ST. BC. Fee (4.50- New Const. Only) , an ca erm ec TOTAL FEE ~ ~ ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, in addition, all covenants, easements and restrictions of record, If applying as a contr ctor, I further c i y thatr I am a currently registered contractor in the State of Was ngto . Signature Date ~-'•. Firm: i /' Plan Check By i Issued By Finallnsp:l / Owner L&I Form Assessor Floor Plan and Permit Submitted_~J Quarterly Reports Assessor _~ / TRPC ~ ~ NEW UEV~W1'MEN! /NtW CUN5IKU(;IIUN (:HE(:ICL1S1 SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # I Fee If If Applicable Applicabie ~~~ $125.00 1~/, $1,000.00 /V /~ Receipt Comments PERMIT/INSPECTION PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 -/ ~~~~ /~ J' l Z ~. JCS $30.00 i r.c~u~c~ -Y W.C. F'ce ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY s. CITY OF YELM BUILDING DEPT. ~hone:458-8407 r^~ Building.~er ~J ~ .} ~ S ~ Date LL "~~ ~° f % ~~.}(W~ork must be sta~rte~drw`ithin 120 days) w Name ~ t Phone ( ) r ~- (~~,~' R Z C d ~~ ~~ Address ~ Cit St. ip o e (, Site Address ~~~,~'~ ~~~ ~, ~~ P R __ ,~/ Assessor's Parc I No. / z ~~ ®D Lot Size (sq.ft/acres) O a ~ Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T . City St. Address Zip Code a t) / License No. ~ ~'Y! 3 Exp. Yelm Bus. Lic. No. ~~~ Description of Work ' ~ ~ ~` , OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential -~// Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ a (~ Sets of Prints ,,~~ ~~ ~~,,~~'' Other Plumbing Permit #~ M i l P it #~ h WA. ST. BC. Fee (4.50-New Const. Only) an ca erm ec ~ ~ ~ P k B C TOTAL FEE y + lan hec f ' Minimum distance of structure from property lines: r Issued By Front to of Road Final tnsp:~~ Side Side Rear Owner L&f Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~= .' ~ '~ ~ (t>~~'"`~M Date ~~~~ Quarterly Reports Firm: ,,.'°kf Assessors/ TRPC ~ ~ l NEW UEVELUI'MEN! /NEW GUNSIItU(:11UN cHEI:/cLls1 SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWERlSEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # I Fee If If Applicable Applicable $125.00 $1,000.00 3gd.40 7dd, ~® Receipt # Comments ~~ _ PERMIT/INSPECTION PER ERU HOOK-UP Pugeh Power 458-7731 Yelm Tele. 458-2171 6 ~. ~5d 5 ~l9 / 5~~~ ~d 5~d9 ~~, DlJ UJ.C, F'ce 5d $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Buildin rm No ~ "~ ~'~ 6UILDING DEPT. Date ' ~ ~-'%'~' 'hone: 458-8407 (Work must be started within 120 days) ~ ~ ~'~ _ w Name " l , '~ ~ Phone ( ) ~ (~ ~ ?~ N E R Address ~'7 City St. Zip Code ~( .~r/ t Site Address r- ®iY7 df//1'/YI) ~~ltJ7 , ~ P R Assessor's Parcel No. Lot Size (sq.ft/acres) O R ~ Subdivisio /~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ' Contact Phone ( ) T Address City St. Zip Code T o J l irense Nn. ~ ~l.~ ,c"I l ~- ~/~ ~n !n N ~, Exo. -°~ //-~ Yelm Bus. Lic. No. 1 ! /~ Description of Work ~ ~ f OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ , ~~ Sets of Prints Other Plumbing Permit # ^j ~ WA. ST. BC. Fee (4.50-New Const. Only) . ' Mechanical Permit # •/ L[L~L TOTAL FEE ~ ~ Plan Check B d t lines: Minimum distance of structure from propert Issued By y ~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conforrrjiity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and inaddition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. aiyn Firm -- d ~ ~ ~, ~~'~( .T-~ Date ~' j- ' ~., Quarterly Reports Assessor_~~ TRPC _~ ~ NEW UEVtLUNMEN f / Nt W (;UNS I IlU(:11UN (;Nt(:KLIS 1 SITE ADDRES5: ~~ ~~ -' /j21' ,~~, ~ ~~~ ~~ Permit # I Fee If SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. If Applicable Applicable $125.00 $1,000.00 Receipt Comments PERMIT/INSPECTION 39a, 0C~ " ~~%~; lad . Qua '~~~~=~, PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 ~~~~ 5~ ~~ T~ 7~~r~ ~~, oa "7~ ~~ 2 SCI L~d~ Y. W.C, Fee $30.00 ~`~ ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 N Name / ` n ~^-ry^ a Address~~~;) /,)~ ~, l1~ ~7 /~~ Buildin rl 't o J r'~ Date ,(~Wjork must be`st~arted with~i~n,1,20 days) Phone( ) St. Zip Code % "`~ ~~' ~~' ~ ~ ~~ Site Address L ~ y ~ ~~ ,/ P R Assessor's Parcel No. Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ,,~~ Name ~ '~ :`~ ,(~ ,Contact ~ Phone ) - P "~ ' ~ ~ " `~ ~ Z C d ~ ' Address ~ . , City ip o e St T a License No. ~,, ~ ~.,,~ ~ Exp. Yelm Bus. Lic. No. Description of Work ~~ f f ~ jI J ~ , OFFICIAL USE ONLY Permit Type: ~, Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA ST BC Fee (4 50-New Const Only) Mechanical Permit r TOTAL FEE Plan Check B q ,,~ Minimum distance of structure from property lines: Issued By ! ,~ Front to of Road Final lnsp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. .7 ,~ -. r" _.,_._ Signature , ' ! ~°;~~-~ z~'.-~' ~ r~!--' Date Quarterly Reports Firm: Assessor ~ / TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 -..~ Date rnr ~ ~°_ a ~~ ,5 (Work must be started wi in 120 days) ~~~` ,~~~ w Name ~ ` ~ %~ Phone ( ) ~ '' ~ ~ ``. ~ N R Address ~ Cit S ..1,/~ Zip Code `'' '~ ~-~ V O ~'~ Site Address ? ,~/ P ~ ~ ~ ~ ~ ' ~ ~ ~ ~ R Assessor s Parcel No. ,, . C ~,~ ,. Lot Size (sq.ft/acres) O P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c ~"~ N Name ; ---~ ontact Phone ( ) r Address ! ~" ti City - r~~ Zip Code '~`-' .. T °a ! License No. 1 ~ ~~ Exp: Yelm Bus. Lic. N . Description of Work ,. ~- OFFICIAL U E ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) .Residential Sign ( Co O Sewer Septic Approval No. mmercial ther City Water Private Well Private System i j Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ Building Value ,~, Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) .~ Mechanical Permit # TOTAL FEE ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washinatorx.i ,.~ ~;_"~ ~' ~- Plan Chec f~`'a. 1 ~ ,. ~~ ~ Issued Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit SubmittedJJ Signature ~:~ ` r r Date ; j - ?~1 • ~f Quarterly Reports J __ Firm: ' AssessorIJ TRPC / ~ CITY OF YELM Buildin~p ,rt~it ~°---~, ,~..~ ~ ~ ~ BUILDING DEPT. Date ~'`~' ~-~S~j `" ~ ~ phone: 458-8407 "~~ (Work must a starte withi 120 days) w ,.y ' ^ ~ ~ t s ? ~ P ~f` ~ ~ "~` ~ Name ~ , hone ( l ,G ) P.-- ' ' - ( i - , R Address ~' j ^~ /" `~ ~ Zip Code ~ , , Site Address \ P R Assessor's Parcel No. ~~~? ~ ~~~~ ~// ,7~ Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c ~ ` `_ f )L "~ `l~.~ 1 N Nam tact ~ +._ Phone. • T Address ~ l ~'~ ~r ~it ~ r St. Zip Code T ~, ~ ~ ~ °a License No. l.L"'1~3r" Yelm Bus. Lic. No. Description of Work °'? ' ~ OFFICIAL USE ONLY 1 Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Commercia Other City Water Private Well Private Syste m Shoreline Permit Y N leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value , ~ ~~ Sets of Prints ~ /~~/~ Pl bi P it # L Other um ng erm ~ -_~-' ' ^ ~ ~ WA. ST. BC. Fee (4.50 -New Const. Only) ; ~ Mechanical Permit # TOTAL FEE ~ ('' ~ r Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washin Signature _~. Date ~®+ Firm: ~_`_,I ~~~~~'. t ..~~ - Plan Check B~ ~ ~-'~C.j Issued By _ ~ ~ f Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit SubmittedJJ Quarterly Reports Assessor ~ _J TRPC ~ ~ NSW UEVtLUNMkN I / NtW GUNS I IlUl:11UN (:NEI;IiLIS l SITE ADDRESS: Permit # ~ Fee If SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS lli DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. If Applicable Applicable n //~. $125.00 ~/~ N ~t N%} $1,000.00 Receipt # Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 587 ~/~- lZZ1 X15 /~ q~. 5C' W,C, F'ce $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY F CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~ ^-, Buildin er 6i 5 ~ 7 4 Date .~ (Work must b starte ithin 20 days) i~ ~ w Name ' x' f _ 'f --,-- .-; .,t f` 7 Phone ) ~j N R Address r r ~ ' - C f y ~ , ~ `' St. Zip Code ~~ ..~ ' ~ Site Address ~ ~p ~~ ~ ` ,//} t ~~ ~ ( ~ , i~ {~ ,~ P R Assessor's Parcel No. ~ ~(~~ Lot Size (sq.ft/acres) a Subdivision '' ~ 1. Lot ~ ~ ~ Block T ~ Y OR Short Plat No. ~ Block Existing Structures, if any: c ° T ~l'~~/,"~'~/f~~,l t'l~ Name ~ ~,~,( t~/f j1/f ~ Contact Phone ( ) t Address City St. Zip Code a License No. 7 ~ Exp. Yelm Bus. Lic. No. , ~ Description of Work ) ~ ' `~ ; (I,, ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value 7 ,~°' ~ F Sets of Prints Other Plumbing Permit #_uf s~r. ~! , Z ~ '~ / ~ } ~ #~d~ ~'C/G M h i l P i WA. ST. BC. Fee (4.50-:New Const. Only) ~ f an ca erm ec t TOTAL FEE J Plan Check Bye ., Minimum distance of structure from property lines: Issued By 't Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~'? ~:J_ . Firm Date - ~') - ~jt; Quarterly Reports AssessorJ1 TRPC / / NEW UEVEWI'MENI /NEW CUN5112U1:llUN (:NE(:KLISI SITE ADDRESS: (~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS ,.~• ~~, ~ ~~~~ "WATER METER !,l ~~5~ I~~ G~ ~' WATER SERV. ORDER BUD. ~f~ ~ ~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~, ~~ 1 BUILDING PERMIT pr~ 50 / ~ 5y5. ~l~ ~ ~~ Y vLca z°S ~ 5d w.C. F'ce PLUMBING PERMIT 5~~ g 93 ~~ ~`~ MECHANICAL PERMIT ~ 7 ~~ ~ ~~ S~ ~ ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. `hone: 458-8407 N Name~..~t.C .k,, d~ (. ~ / a Address ~ ~ Site Address 1 `~" , a Assessor's Pars@I No. ~;' o ~ R Subdivision '; T Y OR Short Plat No. Existing Structures, if any: c N Name1: T ~ ~ ~ Address T o License Nn_ C-o7n-tact i f~ Lot Siz/e Lot 0 e City? Exp. Buildir~P~rmit ~® ~ ~-~ 4 Date (, ~ ~ (Wort must be s arted within 120 days) ~ L ~ ~~- ~` /^` - /~ F 177?/1 St.1 ~1Tf Zip Code ~=~,~~?` Block Block Phone( ) St. ~ ip Code Yelm Bus. Lic. No. Description of Work ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # + r WA. ST. BC. Fee (4.50-New Const. Only) ~~~ Mechanical Permit #s~~ . TOTAL FEE Plan Check B ~ ~ ~ i f ', Minimum distance of structure from property lines: Issued By i ` Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. t ,--, r, ' ~ ' Date o ~ ,~, ~ t Quarterl Re orts Signature JI .)~, ~b, ~ 7 3;` ,.. - ; -~- `f Y P Firm: Assessor ~ ~ TRPC ~ ~ NtW UEVLLUI'IV1tN 1 / NtW GUNS I ItUL -IUN (:H~LKLIS 1 SITE ADDRESS: ~~~,~j/~°~ l(~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 /„ ~" '~` PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~~ $1,000.00 j ~~ PER ERU HOOK-UP SITE PLAN ACCESS 1!i DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~~ ~~ WATER SERV. ORDER POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~~~ BUILDING PERMIT p ,~ f ~ 9 ~! , Sd PLUMBING PERMIT 5 SJ ~° MECHANICAL PERMIT ~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 w ' i Name ' ; GtJ / R Address '~ • ` ? ~^ f •~ ! , ~ 4 ~ Cit '~ f St.~ Zip Code ~ ~ ~ ` , / Site Address! ;'~ '- ~ ~ ~~ ~ '~ f/ t~i a Assessor's Par No. f Lot Size (sq.ft/acres) O , ~ ~ n R Subdivision u Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N ~ Name ~ " ~ p J ° Contact ~~~ ~/ ~~~G Phone (~( ) ~ , , , ~ Address ~ ~ `~ `g ~ ~~, City'1, ~ St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~? % OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~~ P ~~~~ ~ - ' Other Plumbing ermit #' - ' l P M h i i ~ WA. ST. BC. Fee (4.50 -New Const. Only) ec an ca erm t # ~ ~ TOTAL FEE ( ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 'f Signature ~-'~~ ~ ~ ~~ ; ~ r' ~ ~ Date '~'-- Firm: Building Fjermit ~°_ s~~ $,~ Date ' ~' k ' , (Wo~ must be sta~ed within 120 day) ~ ,_.. ~> Phone( %~ `~ ~~~ ~~ ~'C" ~~ ~7 Plan Check By ~ ()/ Issued By ~ , /> r: ~~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-/_~ TRPC / ~ rvtw u~vtr_ur~n~trv r i lvtw cows r riuc; rrunr c;rrtc;rc~rs r SITE ADDRESS: ,~ D T-#~ SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # ~ Fee If ~ Receipt If Applicable Applicable # Comments $125.00 ~~ ~ / PERMIT/INSPECTION $1,000.00 I ~V ~~ I PER ERU HOOK-UP 5~~ % PugeF Power 458-7731 Yelm Tele. 458-2171 5 8~3 i 3 8~i~® $30.00 ~a~~~ ~F~ 5 ~~y J ~~y ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildi e ~ it N~~ ,~ ~ ~ v Dates ''` - (Work must b started ithin 1 0 days) ~~,~ . ~~~ T. ~`~ r ~~ ~ ~ w Name Phone ( ) - E '' I f ~ 'i ~/~ R Address City St. , Zip Code Site Address ~ ~ ~~ ~ ~ ~~- R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ") ,' Contact Phone ( ) T Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. Description of Work t ~I ~ , OFFICIAL USE ONLY 4 Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ~ ~ / Sewer Septic Approval No. Commercial Other V City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~ Other ~j ~ ~ Plumbing Permit # ~j / ~ V P ~ / / ~ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical ermit # ~ ~ ~ l ~ TOTAL FEE ( , Plan Check By-_.~ . _ ~ ~ ~ ~ J Minimum distance of structure from property lines: Issued By i ~' ? v Front to of Road Final Insp:~ ~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~ ~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 4 Signature t ,~ ~ • ' ~_ ,( Dat ~~V ^ t ~ Quarterly Reports Firm: Assessor~~ TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name ~ N BUl~dlnip~er~It,~i.~~ r ~~ ~? ~ J Date ~ ,r K `.~-,o ~.~ I r~ (Work must be started within 1 days) Phone ( )Y~ tl' `ylr.Ji n a Address ~ J City ~ St. *~ Zip Code t Site Address ~ ~ ^ I ~ '` P R Assessor's Parcel No. (~ ~ ~ Lot Size (sq.ff/acres) O a Subdivision ~ i ~ ~ ~" P Lot ~ Block Y OR Short Plat No. Block Existing Structures, if any: N Nam ~ ' '' J `' J Contact Phone ( )1'~ ~~ ~I~~~ , Address ' ~ ~' 1 n City' ~ ,r ` ip Code ~ J St ~ . r ° ~ '~ 7 ~ a License No. Exp. Yelm Bus. Lic. No. 1 Description of Work 11 I r ~ ;-~ •~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ;feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ [~ ~ ~ ~ , f~ J Sets of Prints .~'` ~ / ~' Pl bi P it #~ Other um ng erm ST Fee WA BC (4 50- New Const Onl ) ~~ Mechanical Permit # . . . . . y J !f. TOTAL FEE ~ Plan Check By ~ I .J Minimum distance of structure from property lines: Issued By r r Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_JJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. __ ~ _ ~- _. _.. r~ Signatur`~~~-, -~ ..,, ,, _ .._~A Date ~ ~ ~ 1 Quarterly Reports ..,. .r Firm: ~.'~3~-.~~~~-_ ~v-~ Assessor ~ ~ TRPC ~ ~ NEW UEVELUI'MEN f /NEW (;UNS I ItU(:IIUN CHEI:KLIS 1 SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # I Fee If If Applicable Applicable $125.00 $1,000.00 Receipt # Comments tl i' PERMIT/INSPECTION PER ERU HOOK-UP IF7 ~• ~ ~ ~C~c ~~~9. d v q3,v~ $30.00 PugeF Power 458-7731 Yelm Tele. 458-2171 =v~caudz°s Y.Sd W,C, F'ee ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 :,. w Name ~ ' ~ ~( '` - Phone ( ) a Address ~ ~ ~ - City ~ St ' Zip Code ,` ~, , Site Address ~/r~t~~ T ~ ! %r~d~`/ !'L~ 'n-~ f` ~~ tJ R Assessor's Parcel No. ~ ~ / / ~ '~y/ ~~7~(,~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~- <` fy~' ~ `7~ ~ ~ Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ 1 •> ~;;' ~''~ J ~' ;J ~, ,~'' '`f ~ ~';~' ? OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ , ,~ ~ t~~, ~ Sets of Prints ~~"" ~~ // ~~ Plumbin Permit # ~ Other g ~ r ical Permit # Mecha ! WA. ST. BC. Fee (4.50-New Const. On ly) { n ~ TOTAL FEE Plan Check By/'' . J ? ~ ~ .~ ` s Minimum distance of structure from property lines: Issued By ~ ~ ~ ~' ~-~ '' ~-~ ~l Front to of Road Final Insp:J_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature '/ Date Quarterly Reports Firm: Assessor ~ _~ TRPC __/ / Building ~~° /~j"` 2 Date ~ I ~..ay ' ''~ (Work must be started wit in 120 ays) f ` ~~±~ NEW UEVELUNIVIENI /NEW (;UN511iU1:11UN (:HE(:KLISI SITE ADDRESS: Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT /~ ~~~ !" $125.00 PERMIT/INSPECTION SEWER LATECOMERS ~ "SEWER/SEPTIC ~ , $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER r ~ ~. POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT 5S~'~ 103: 5d ,~ ~~ iv.c, ice ~ 50 , PLUMBING PERMIT ~ ~~I3 ~~` 5~ .~~~~ ~~~~ MECHANICAL PERMIT ~ ~- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM 8 81 Building P rmit N°_ 5 BUILDING DEPT. _ __ Date ;~~ ~~ ~~:' ~` ~~ ~ t~1% -~ phone: 458-8407 (Work must b ~,tafted within 0 days) - _ ! ' ~'~~ .. r. , ~ . ,, ti.. r ~.._... w Name `~ ' _ ' ~° ,~,~' {~ , ~~ Phone ( ) V R f ~ Address I " ~~~ ~ ~ ~ City St. ip Code Site Address ~ ~ f ~ /~ ~ !" j rj ~--C. i a Assessor's Parcel No. l `~~ ~,7 Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ` 11 .l ~1° %' ~' Contact ~ Phone ( ) ~ ~- '~ ~ Address r " ~ ~ f t;ity ~t. up cone ,,J a License No. `~ ~ ~/ ~ C -7 Ex P• Yelm Bus. Lic. No. Description of Work ~~~ ' ~ ~ ,~'," ~ ~-'~ ~ -' ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value rd ~ ~ ~ ~ ~ ^~ ~~ ~ Sets of Prints Other Plumbing Permit # ~~ WA. ST. BC. Fee (4.50-New Const. Only) .-~ ~ ~ /( Mechanical Permit #! ~ ~ ~ ~ } TOTAL FEE ~ ~ Plan Chec ~By. ~ ~ r , Minimum distance of structure from property lines: Issued By ~ '/ (~ .. Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature s " Date Quarterly Reports Firm: '~ ;~ ~ Assessor-/J TRPC _~ J NEW UEVELUI'IV1EN1 /NEW (:UNS11tUl:l1UN (;HE(:KUS1 SITE ADDRESS: Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~,~ ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER /~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~' ~~ BUILDING PERMIT cJ ~0 ~ ~ /l ~' ~~ ~~~ F'c e ~ C' ~ I ~ PLUMBING PERMIT / ~ MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS "DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Building P rmit No_ 5~ r i Date _ +<~'1 ~''~-. :~~ ~ _l C ,4- (Work mus b st~ within 12'0 days) ~~ ~,f~ ~ ~ ~ ~~~~ ~ w ,"~' --'`: 1 rF ,%~ ~~~ ~' '~' ~ 9' ~ ~~ "' Phone ( ) ~~ s „ Nam ; R i / Address ~ Y- ~ t~ i) City ' 1 St. r-'' ~~ ip Code t ~~~ _.~ n ~ ~ ~ Site Address ~ ; '~ •' l% ,~ L,, ,,~ a Assessor's Parcel No. ~~~~'~ .~ C~/~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ~ / ~%`,~ -' ' ~`{~ Contact ,(/ ~+ Phone ~/f ~ ` ~ ~ ' ,~ j t~ ~~~~ City St. Address - ~ ' ip Code / , T R License No. Exp. 'f~ Yelm Bus. Lic. No. ~ '~-`' Description of Work ,~ ~ ,~ OFFICIAL USE ONLY ' i ~ Permit Type: l ~ Si R id ti Sq. ft. per floor: (1st) (2nd) gn en a es Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~Q ~~~~ ~~ ~ (h,I Sets of Prints Permit # Plumbin Other g ^ WA. ST. BC. Fee (4.50-New Const. Only) ~J ~ Mechanical Permit #-~' " TOTAL FEE ~ Plan Check By ~~ Minimum distance of structure from property lines: l Issued By U Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date ~ Quarterly Reports Firm: "'~ ~ 5 ~ j} ~ Assessor_~~ TRPC / _~ 1 /~ 2:/ NEW UEVtLU/'MENf /NEW (;UN5IIlU(:IIUN (:HE(;KLISI SITE ADDRESS: Permit # If Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT ~/~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER /~ f WATER SERV.ORDER ~(,,~ POWER Puget• Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~C~ < ~ Jy ~~~~ ~~ ~ BUILDING PERMIT PLUMBING PERMIT Q ~~P MECHANICAL PERMIT /~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRJOR TO FINAL INSPECTJON BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildi -.~ rmit ~~ 5 ~ ~ 7 Date _~~~ ~ (Work must be started wit in 120 days) --~. '`I~ w Name '~ '' `' , Phone ( ) -- ~~ - a Address '~'~ r ~f ' City S ~ Zip Code ~ ~ Site Address . , P R Assessor's Parcel No. Lot Size (sq.ft/acres) R Subdivision r f°~~ Lot G Block T Y (~ ~ OR Short Plat No. Block Existing Structures, if any: c o N Name Contact Phone ( ) T Address City St. Zip Code r R ~~ r License No. y ~., Exp. Yelm Bus. Lic. No. Description of Work %' ! } OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ Sets of Prints ~~~ e ~ Permit # V Plumbin j Other g l ~() ical Permit # +a° 7 Mecha WA. ST. BC. Fee (4.50-New Const. Only) n ~ `l ~ TOTAL FEE ~ Plan Check Bye.. ~~ 1 I d B Minimum distance of structure from property lines: y ssue Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. t S ~ ~~ ~ ~?~ s .-, Signature 9(~(~,r '" f ....,- Date ,. ~ 1 ~_ Quarterly Reports l e ~ Firm: ~~ ~~- f,~/f.~r~- it.% Assessor~~ TRPC ~ ~ NEW UEVELUNMEN f /NEW (;UN511tU(: IIUN (;HEI:IILIS I 5ITE ADDRESS: yy(Jy ~- Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~' ~ ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ Z $1,000.00 1~--1 -7 ~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~] 8~, C1d '~~7-J ~~ I EP, udR DuoC.E~C WATER SERV. ORDER ~~QQ, Q'® y -~ -~ ~/ ~ ~~ U.~S POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ 7 J` ~~ ~`~ / BUILDING PERMIT 5 0 77 /~ ~ ~ l~ ~ ~~~ ~ W ~ C' ~ e I ~ PLUMBING PERMIT 5 ~ ~~ ~ ~/` ~~ `~`~~ MECHANICAL PERMIT ~ ~'~f ~'SI FJ ([7r ~~ ~~~~,\ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS ~ ~ .T ~ G ~ T ~ V I v ~~~5 '-' DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. ~hon • 458-8407 ,~ } w (Name N Phone ( ) '~`"~ Q a Address ~~ "~~ City St. 1 Zip Code ~ ~ ' r Site Address P R Assessor's Parcel No. r ~(~ Lot Size (sq.ft/acres) O R Subdivision ~ ~ %' ' Lot ~" Block r Y OR Short Plat No. l Block Existing Structures, if any: c N Name ~ l ~ Contact Phone ( ) r Address City St. Zip Code a License No. ,~ Exp. Yelm Bus. Lic. No. °`~ Description of Work .-~ , ~ ''j ,1 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Value Buildin ~ , ~(~ Sets of Prints g , Other ~ r l 1 Plumbing Permit #-~~ y ~ { ~ / , y ~ < i~! ' WA. ST. BC. Fee (4.50-New Const. On ly) ~ V Mechanical Permit # 1 ~/`~ r TOTAL FEE ,7 ~ ('~~ Plan Check By, ~ t',..,~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature .-~ ,,~~ ~ ,,~,,,i'd®,~, ,~, ~ ~ ;~' - ~ Date ~~ ~ -- Firm: ""'~",~ °--._""``"....--.:e ~` t.-^' .,`" , Buildinr ~~~ ,~ S Date ~~' ~ ~ ~ ~~'~~ (Work must be starte y/ithin 120 days) Quarterly Reports Assessor~~ TRPC ~ J NtW UtVtLUI'MEN 1 / NtW GUNS I t1UC:llUN (;H~(:IILIS I SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3 ~ (~, ~Q ~ s C Y WATER SERV. ORDER ~dd , vQ ' ~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ` ~ ~~rp ~ 7~ • ~ D ~ ~ J Y nc.1 ~, , 5d ~ ~ C' F.« , PLUMBING PERMIT ~ 3D % u r ~ ~D MECHANICAL PERMIT ,5'~~ ~ '~ ~, ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building P mr it ~° ~ $ ~ ~ BUILDING DEPT. Date ice? phone: 458-8407 (Work must be started within 120 days) °w Name ' ,~ ~ - Phone( ) N E a Address ~ ~~ j J ip Code ! St ~ . Site Address ~ ~ _ P R Assessor's Par No. / ~~Q®a '`~jl(~(,/ Lot Size (sq.ft/acres) a Subdivision ~ t Lot ~ Block r Y OR Short Plat No. Block Existing Structures, if any: C N i' n Na ~ ' ~ f ~~~~ Contact Phone ( ) T ~ _ ~'~ ~ ~ ~ ~ ~ Address J St. ip Code Z T R License No. ~ ~ Exp. Yelm Bus. Lic. No. ~(tj , Description of Work / OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential~Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other ~~~j Plumbing Permit #,~~ 1 WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE 1, Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. applying ass a contractor I Furthgr certify that I am a currently registered contractor in the State of Washinato ! % ° ~ ~"`~~ ;f ~ Signature Firm: Plan Check B '~ ~ ) Issued By i ~~~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJ_J Quarterly Reports Assessor ~ J TRPC / ~ NEW UEVELUNINEN 1 /NEW t;UNS l IiU(:IIUN (:HEI:KLIS l SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS >ii DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # I Fee If I Receipt If Applicable Applicable # $125.00 $1,000.00 -~ Comments PERMIT/INSPECTION PER ERU HOOK-UP Pugeh Power 458-7731 Yelm Tele. 458-2171 NjA 5873 Zy1.06 ti' ,4 /1f /,4 W.c. F'ce $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. -hone: 458-8407 Building.,,~er it ~ S ~ 7 2 Date ``~~ ~~ (Work must be starte within 120 days) w r, Name Phone( ) N R Address , , ~ St. Zip Code Site Address ~ ' A ~ ~ ~~ ,~-, -i- ~ 1 R Assessor's Parcel No. ~ , Lot Size (sq.ft/acres) o a Subdivision ~ ? Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Nam ~' f'~ 7 " ~ ~ Contact ' _ l~ Phone ( ) Address ~~ ~~ ' ~ '~ 'f f ~` St ip Code r a License No ~~ ' ~ (~ Exp Yelm Bus. Lic. No. ~~j ~ ~ (~ . , . , Description of Work / ~ `a ~%' %'/ OFFICIAL USE ONLY Permit Type: ti l Si R id Sq. ft. per floor: (1st) (2nd) gn es en a Sewer Septic Approval No. Commercial Other ~ -- -City Water Private Well Private System , ~ ~ ~... ; ~;- Shoreline "Permit Y N ~ . , , __ -Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ 1~ (~® Sets of Prints /~~ ~ Other / Plumbing Permit #-~=-~-,- WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE 2 ~/ f ,~j Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record/ applying as a contrac~¢f~l furthe ~ certify that I am a currently registered contractor in the State of Washingto ~ ~ ,~ f f ;~'af ~~r / , Signature Firm: Plan Check By Issued By r .Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor_~~ TRPC ~ ~ NEW UEVEI_UNINENI /NEW LUN51fZU(:lIUN UHE(:KLISI SITE ADDRESS: Permit # I Fee If SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Receipt __ > --~ L ~~ IF Applicable Applicable # Comments $125.00 ~ ~ PERMIT/INSPECTION $1,000.00 ~ ~j~.j„~ PER ERU HOOK-UP ,,/1.~ >~ /lr r,r~- r~T~ $30.00 PugeF Power 458-7731 Yelm Tele. 458-2171 i.r~uuuc~ z, L~J , C, F'c e ADDITIONAL COMMENTS *DUE AND PAYABLE PR10R TO FINAL INSPECTION BY CITY OF YELM 6UILDING DEPT. phone: 458-8407 Building~e mit ~ro-, ~3 8 71 Date ~-~' ~' ~-~'~ (Work must be star ed within, 120 days) w ~~ f- Name '"` Phone( ) N E R Address St. ~ ~t Zip Code (~ ~~ ~. Site Address P R Assessor's Parcel No. ~j ~ ~~ / Lot Size (sq.ft/acres) P R ~ Subdivision Lot ,~ (p Block r Y OR Short Plat No. Block Existing Structures, if any: o N 't` Contact f Nam Phone ( ) T // 7~ Address ~ ~ ~ 2 ~ i~i° ~ .- St. ip Code ,~~ R Yelm N f Ex Li ~ ~ ~" ' O'/ '~ ~~ No Bus Lic ~ ~j p. cense o. >a„!U t ~ K J /C_ . . . j r Description of Work ~ ` ' ' OFFICIAL USE ONLY Permit Type: l ~ Si i R id Sq. ft. per floor: (1st) (2nd) gn ent a es Sewer Septic Approval No. Commercial Other ~- City Water Private Well Private System Shoreline Permit Y N \_ -neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ , ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ / /~ ~ "y f , ~tJ Plan Check B "~ Minimum distance of structure from property lines: Issued By ~f r Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those verning zoning and land subdivision, and in addition, all covenants, easements and restrictions of record., f .plying as a contractor,,~"~rther;certify that I am a currently registered contractot in the n ,~`~' ,^ f ~ ~ State of Washingto P a ,/, X , 4 ~ ~ Signature / >!~ f,-~ ~;+ '~`, t_~.:~ Date(;1 ~ Quarterly Reports /. Firm: Assessors J TRPC / l `' r) 7~/ 1 NEW UEVtLU/'MEN 1 /NEW (;UN5lIlU(:IIUN CHEI;/ILIS 1 SITE ADDRESS: Permit # I Fee If SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Receipt ,-~ - _~ ~ ~~~~ If Applicable Applicable # Comments $125.00 ~~ PERMIT/INSPECTION $1,000.00 2 5~,~ PER ERU HOOK-UP ~~~C~cJ ~~~~ PugeF Power 45&7731 Yelm Tele. 458-2171 _~~ 5~~1 tir~~- ~~~~- ~~. ~0 $30.00 Ynaltcd~ K.Sd W.C, F'ce ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building R~~.r ~ it N°- 5 ~ 7 BUILDING DEPT. Date Phone: 458-8407 (Work must b start d within 120 days) ~_~ , .~ , w Name Phone( ) ti R ~ Address ~ ~V St Zip Code GG~~ ? Site Address 7 - a Assessor's Parcel No. Lot Size (sq.ft/acres) o -;F ~ a Subdivision j Lot ,~ Block r Y OR Short Plat No. Block Existing Structures, if any: c N Nam ~ ~ ~ Contact Phone ( ) ~'~ ~ ~ ~ ~~ ~ Address St. ip Code ( ( r a License No. ~ f~ Ex ) Yelm Bus. Lic. No. r~j ~ / i Description of Work i f 7 , ,~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other --.. City Water Private Well Private System Shoreline Permit Y N ~. Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ j~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. On ly) Mechanical Permit # TOTAL FEE ~ y~, (~ Plan Check B - .~ Minimum distance of structure from property lines: Issued By ~.- Front to of Road Final Insp:I~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I al so certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/~ ulations including th govermn zoning and land subdivision, and in addition, all covenants, easements and restrictions of recor . (rf applyin as a ~ntractoy~T"f~rther,~certify that I am a currently registered contract r in the '' State of Washingt . . r , / ~' ~ ,_ : ~~ ~ !, Signature h,' ~ ~' 8 r~ ~/ 1,~~ ;( ~ ,, ( ; Dat i 'rr' ~ ~~. Quarterly Reports Firm: %,~ ~ Assessor _~ ~ ~,. TRPC / ~ NtW UEVLLUNINENI /NEW (:UNSI11Ut;11UN (;H~I:KLISI SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING Permit # ~ Fee If Receipt ~~~' ~J ~~ - J C,~~~~/ If Applicable Applicable # Comments $125.00 5D PERMIT/INSPECTION $1,000.00 2 ~~~ PER ERU HOOK-UP 3~D,G~ 25~~ / ~, Cam(/ ~ ~~~ Puget Power 458-7731 Yelm Tele. 458-2171 ~~' 5870 N/~- ~~~ YELM BUSINESS LIC. ~ ~~, ~v $30.00 z'v~c~tud~ ~l, Sd W,C. F'ee ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM ,BUILDING DEPT. Phone: 458-8407 N Name ~~ E l/1 //~i Buildin rmit ~~ Date '~ (Work must be started within Yr' ,~t~~~ .; Pho))n~~e ( ) l1 !1 St. 1~)ffiRipCode 5~~9 120 days) Site Address / ©' 7 (J G ~~~/~~/U C.,F:-~,(/1~ ~U V-'~'~ ~ ~ / P Assessor's Parcel No. tE~ ? ~ (,/ Lot Size (sq.ft/acres) R O P e Subdivision ~~ Lot ~ Block R T Y OR Short Plat No. Block Existing Structures, if any: c '' Nam ~ Contact Phone ( ) N T /' ; /~ Address ~ ~,~ ~ ' St. ip Code ~ ~(~ T ~t ~} a License No. ~ ~ ~ ~ ~}.~-}~~ / I.~~~} /C ~ Ex Yelm Bus. Lic. No. f ~,`?l~ ~~ l~ Description of Work ~' '~ OFFICIAL USE ONLY Permit Type: r Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. Commercial Other -..,City Water Private Well Private System Shoreline Permit Y N ..,Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Z ~~i ~~ Sets of Prints 1~ /' ,Q. 4° ` Other Plumbing Permit # , /'~ / WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit td V TOTAL FEE / ~,'~/, ~~ Plan Check By Minimum distance of structure from property lines: Issued By J Front to of Road Final Insp:lJ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~__/ ulations including thos governing zoning and la subdivision, and in addition, all covenants, easements and restrictions of recor f pplying a co ract , 1 ~~ rthe-~cert~ that I am a currently registered contract¢r in the State of Washingto / J ,.j ~~~- ' ~ J Signature ~' -'t ~- ~,, r '~~,~,~~r,` Dat / Quarterly Reports Firm: ,,~~ Assessor ~ ~ TRPC ~ / 0 NE W UEVELUNMEN f /NEW WN5112U1;11UN (;HEC:/c~ls l SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING Permit # I Fee If IF Applicable Applicable # Comments $125.00 5~~ PERMIT/INSPECTION $1,000.00 ~ ~5~ PER ERU HOOK-UP `1~v(.!V ~~~~ _~ Receipt Puget Power 458-7731 Yelm Tele. 458-2171 N~ 5~'~9 N%,4 N~,~¢ '~1, ~~' Ync~ud~-, Y, 5d i,~J,C, F~ce YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY CITY OF YELM Building..~er it ~° ~ ~ 5 ~ BUILDING DEPT. Date ~° ~ ~' phone: 458-8407 ,-~ (Work must be sta d withi 120 days) ~ ~~ ~~~ N Name ~~ r'' %? Phone ( ) '~' ' a Address Cit St. Zip Code Site Address 4 ,~ ~~ R Assessor's Parcel No. ~ '`~ ~ Lot Size (sq.ft/acres) o / ' a Subdivision ~ ~~/~~J ~,,(..f~~,~ Lot ~ y Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ~ ~ ~ 1 Contact ,t ~ Phone ) T ~ ~~ ~'~ ~ li ~ S ~ Zi C d ~ Address , t. p o e r a ` 1 i~, License No. ,(„~ fu U ' Exp. Yelm Bus. Lic. No. ~~j ~~ a Description of Work ~ %' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential +' Sign Sewer Septic Approval No. Commercial Other -City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE F EE Floor Plan Y N p '~ ~~ Building Value / ~ Sets of Prints ~ `~ Other Plumbing Permit # / WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ ~~ TO TAL FE£ ~, ~ rvm nn wni u~a~ai n.c vi au u~.tuic nuin NiuNci iy niico. Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those verning zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. f pplying as~~? contractor urth certify that I am a currently registered contractor in the State of Washingto ' ~'~? I j Plan Check By- Issued By Final Insp:l~ Owner L&I Form Assessor Floor Plan and Permit Submitted) ~. r ^- A., Signature t.. , % ,;f~~s` `,~ r ~~'~ ~ Dat ~~ ~/ ~b Quarterly Reports Firm: /~ Assessor J I TRPC I / NEW UEVLLUNMENI /NtW CUN51ItULlIUN (:H~I:KLISI ~- " ~ _~ SITE ADDRESS : 1 ~, ~ ~ A~,~~ ~~N~~A~ ,U/t : ~ ~~` / Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 Z 5 ~,~ PER ERU HOOK-UP SITE PLAN ACCESS ilr DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~Q, U~ Z ~ ~~ WATER SERV. ORDER ~~~` ~~ Z~J~~ POWER Puget Power 458-7731 Yelm Tele. 458-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW / Y~~ BUILDING PERMIT 5 8~ 8 ~ y ~~ ~ w. c~ F'e PLUMBING PERMIT ` ~/n MECHANICAL PERMIT / ~[/~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS "DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. hone: 458-8407 Buildin~'P~ mit o ~ ~~ 5 Date C~..._.... ~ ~.~', r~ ~_ ,~"ork must started wi in 120 days) w ~ ~ N ~ ~ ~ -- ~- ~-_ Phone ~" 1 )~~~ ame . ,. , ~- N a Address , ~ ~~? .' ,, ;'Y'~ i 4Y--- City St. Zip Code Site Address ~-~"' ~ ~• . ~~`~ ,~~ ~~ o Assessor's Parcel No. ,--~ '~'""77 ~~] ~ ~ ~~1(~j Lot Size (sq.ft/acres) P r ~.. R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~^ ,~ , t- ~.) ~.... _ _~ ~- ~ - ~.-~ G- Contact .~'' ~ .. .~,1~', t Y_~ ~. ~ Address ~~~: ~;, ~' ~4../~`'L•~ ,. ~ `f'~ Cit Y St. Zi Code `~ ,~'... P T R License No. Exp. Yelm Bus. Lic. No. { Description of Work ,~., ,~ ~-'_~ {~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N peat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ ~~ ~,) !~ ~ ~ ~"'~- Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) L f ~ ~~ Mechanical Permit # TOTAL FEE ~ ~} ^^~ Plan Check B ~~ •-_.. Minimum distance of struct ure from orooertv lines: Issued By t f ~~ " ~ { Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. i "~ Signature', Date i`~ ~ (.~ Firm: ~ - C1 Z~ LC'!~ K,U~~t 1-~ ~ ~~. Finallnsp:J--/ i Owner L&I Form Assessor Floor Plan and Permit Submitted) Quarterly Reports Assessor-// TRPC ~ J 7~ f f! F .~ y#..-.., FJ fit' f f f CITY OF YELM BUILDING DEPT. hone: 458-8407 Site Address / t~ ~ +~ (~ ~,~ ~1 t' ,i(`f~,'~'_ G(a,/ u a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block r ~ OR Short Plat No. Block Existing Structures, if any: N Name '~'~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code r R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ OFFICIAL USE ONLY a ~ '~' 7 Permit Type: Sq. ft. perfloor: (1st) (2nd) Residential Sign L''~,, Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ r ~ Mechanical Permit # TOTAL FEE ~ { ~~ ~`~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Date ,,! ~. ~-3 ~i' Firm: a Plan Check - r /~ ~ ~CJ ( _ ~ Issued By Final Insp:l-~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor ~ / TRPC J J Building~Per it ~°_ r ~ 6 Date ~ ~~ ~'~~ %~ CITY OF YELM Buildi g erm~t ~~• 5 $ ~ 5 BUILDING DEPT. Date T ~ L ~L-' 'hone: 458-8407 (Work must be started ~ hi~20 days) T_ N Name Phone ( ) -• ~ ~` E a Address City t. Zip Code ~ Site Address a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N !I Name - Contact w Phone ( ). ~ /~~ T n c Address t Cit 7 St. ~ Zip Code T R ~ ,~ License No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign i l O h r C Sewer Septic Approval No. e ommerc a t City Water Private Well Private System Shoreline Permit Y N leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~ Other -- ~ (~~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit # ,.~ ' TOTAL FEE ~ ~ Plan Check B Minimum distance of structure from property lines: Issued By ~ , Front to of Road Final Insp:_~_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature a~.r/.n.~ ~!M~ ,'`y,,,~,~ Date ~°-- ! ~"=~~ Quarterly Reports ,.. ~ ~, Firm: ~ /'11 a n;"-r'', i ~ 3~Af~ ~. -; ;-°" /,~tr ; C' Assessor-/~ TRPC 1 / 7 C./ CITY OF YELM BUILDING DEPT. phone: 458-8407 Building,Per it f~ f 5 5 5 4 Date ~ J -~' Work must be farted within 120 d~ °~ ~~ o N Name '~ !~ - - ,^ --_ Phone ( ) E ~ '' . ~ ~ i,r. `'7 a Address ~ ' r City St. ip Code Site Address ~,~ %~ t a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N ~ Name Contact Phone ) ~ ~ T Address City i' St Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~ ;r~ I OFFICIAL USE ONLY Gr Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign i l O h r C Sewer Septic Approval No. ommerc a e t .-_ City Water Private Well Private System Shoreline Permit Y N •` ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # J~~ TOTAL FEE i J Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washinatorn Plan Check B ~ ~ t~ Issued By r Final Insp:/J Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Signature f ` "Z, t~,b (,~ ~.~/~,,. 't' ; ~~ ~° ° i.^ r <~ c ~-yc ~,,t,,,q Date° ,~,~. ~ ~ Quarterly Reports .1 tf Firm: Assessor-/~ TRPC / _~ CITY OF YELM Building~Pe~rmit ~°_,~` J S ~ 1 BUILDING DEPT.,, Date 1 `-` ~ ~ "'' `~ ~~~ phone: 458-8407 (work must be started within 120 days) - , -, -t ~ __ __ ' A w ~ Name cJ r r i .~ j .~ Phone ( ) 7 ~U "' ~G a Address ~-_ J _ , City St. ip Code ~7 r a ~ Site Address / ' -,4 ~ P A / J > ,~ L Assessor's Parcel No. ~(r ~~ 7 ~! ~(~Q ~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T _ Address City St. Zip Code r °a License No. Exp. Yelm Bus. Lic. No. Description of Work. -~^ * ~ ~ ~' f~ !1` `' OFFICIAL USE ONLY .: l7- %" -i ~ Permit Type: Sq. ft. per floor: 1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ~~eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # ~ ~ ~ ~ P k B C TOTAL FEE ;, ~ lan hec , Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~..x~r y~ ~~ ~ t"'._. Date i Quarterly Reports Firm: AssessorJJ TRPC ~ ~ r)J J J CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Perm~it~,~N_o ~ /' S ~ ~ Date ~~- ~~ ~4.~~' (Work must be started within 120 days) ' ....~} sl) t ti N Name ~ J Phone ( ) ~~ R Address'1j~ 1 ~ l / City , St. Zip Code ,~ , Site Address `~~ ~ ~ ~„ ~(~.~, a Assessor's Parcel No. ~ ~ ~ /+~ ~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~, ~f~ , Contact ,.- Phone ( ) ~~~ ~ ; Address~~/ ~ ~j ~ ~ r°' City i St.~ Zip Code (~sf T a License No. ~ ~~' ~ ~~. Exp. Yelm Bus. Lic. No. / Description of Work ~ .~J ` ~ ~ OFFICIAL USE ONLY ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private,,1N~,(L ~ -; "; Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~,! ~~~ ~ ~~,/ ~~ , ~~ Sets of Prints Other Plumbing Permit #_~ ~"'` '~ '~ l P it #~ M h i WA. ST. BC. Fee (4.50-New Const. Only) , (, ec an ca erm TOTAL FEE ~ , ~~ B v ~ Plan Check Minimum distance of structure from property lines: J Issued By t ~ ` t Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: r Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements aad " f restrictions of record. If applying as a contractor, I further certify that I am a currently registered, contractor in the State of Washington. ~!' ~ " / 7 Signature ~. , ~, --^°'~~;~! `f -~ ~~ Date ~./ !C ~ Quarterly Reports . r Firm: Assessor ~ ~ TRPC / _~ 'L.~` NE W UEVELUNINEN 1 /NEW (:UN51 KUt; f IUN (:fiE(:KLIS I SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS Iii DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ `~- WATER SERV.ORDER ~ ~- POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW f gf ~~ ~ , ~' BUILDING PERMIT 7lO- SD ~ 4 Yncl Z°5 , 5d W . C. fee. PLUMBING PERMIT ! ~ MECHANICAL PERMIT ,/~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Buildin Perm~it~-~°_ (~ /5-~~ 5 ~ Date ~7" Is: % " "7 ~.ti' (Work must be started within 120 days) N Name ,:- ~/~ ~ ;;' ~ ___ `,,, )_... ~ Phone ( ) ~ ~~ ~ .. fi`. . a Address City ~ rl ~ St. Zip Code ~ ~`~i t~ '~ ~} Site Address /~'~~ ~~ ~~ ~~.,~~-{`~,,~ R Assessor's Parcel No. ~ ~ ~ ? ~ ~ J~ '~ ~ Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name 7 ,+ ~-~ Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. J, r~ . Description of Work , ~ ' OFFICIAL USE ONLY ~ r Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit #_~~~ WA. ST. BC. Fee -~ (4.50 New Const. Only) r Mechanical Permit # TOTAL FEE ff ~ Plan Check By,. ~ j I Minimum distance of structure from property lines:' r Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,~ f Signature r'` ~ - Z ,j ~.: ~~~- ` Date Quarterly Reports Firm: /'~ Assessor_~~ TRPC ~ / '7 ~i J ~V f J SITE ADDRESSt SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER 8ERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEW,ALKSICUR83 LANDSCAPING YELM BUSINESS LIC. Perrnil ff ~ Fee I( If Applicable Applicable r~/ 2 S 125.UU N ~>~ $1,000.00 N /~ /~'/,~' 5 S~~g N/~- (~ ~. ,~J ~a ~, JD $30.OU Receipt ~ Comments PERMII~/INSPECTION PER ERU HOOK-UP Pupeh Power 468-7731 Yelm Tele. 468-2171 1,~~ ~ C. F'cr- ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. ~/~ ~--~ ~hone:458-8407 ~ (J Buildirfg`P~ mit N~ 5~.~6 Date ~°~ ~ ~-~~ ~~ (Work must starte ithin 20 days) N ,~ ,~~ Name , Phone( ) - ~ ~ a Address , , City St. Zip Code i ~ + r? Site Address , , P R Assessor's Par I No. l ~ Lot Size (sq.ft/acres) ° R r Subdivision' ' Lot ~ Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ ontact Phone ( ) r Address City St. Zip Code T °a License No. f Exp. Yelm Bus. Lic. No. , Description of Work % a i OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,,at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ , ~ Sets of Prints Other Plumbing Permit #_ '~ ~~ M i l P it # ~J ~~ h WA. ST. BC. Fee (4.50-New Const. Only) , an ca erm ec ~ TOTAL FEE I Plan Check Byi.., Minimum distance of structure from property lines: Issued By ~ Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature _.';~. f Date ~ . Firm: .a~;t r..a 4 a~~ c ~,'MS-v Final Insp:/I Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessors l TRPC ~ ~ 2J SITE 11DDRESS s I~.3/~ ~~/a~S ~~1f,~i )~.~7,~f s~'~ ~ ~ ~~ SEWER PERMIT SEWER LATECOMERS 'SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LiC. Perrnil # ~ Fee It ~ Receipt If Applicable Applicable # Comments $125.UU ~-~~ / PERMI171NSPECTION $1,000.00 I ,~~,~ `y ~ , I PER ERU HOOK-UP ~; ?~~, ~ Pupef Power 468-7731 Yelm Tele. 468-2171 ~J`~(v 53~~ 5~D l ~~O,J/ 5'i~,~0 gI, o~ 'y~, d~ ~.1.~. C. F'cC. $3U.OU ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Building P rp.t ~o r~~i .~ ~ 6 7 Date (Work must b started within 120 days) w e~"~ n Name (_,,. fy ,- , '! ,i ~ Phone ( ) ~ {~ R ] ~,r, ' ~ ' ~ ~~ Address t City St. Zip Code Site Address ,~(~`,~ \ ~ ` ~_ i , ,q ~' ~ ~~„` ~ [~,, A Assessor's Parcel No. l,P `Y 7 L ~ g(~(~,~~ Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ , Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~.- OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign , / V Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~ ~ ~ J /~ f ~'' Other ..-- I , / 10l ~ t~ C../ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~``j s ~ ~ Mechanical Permit # TOTAL FEE ~ ` ) /~ ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Firm 1 1~ ~ Plan Check B ~ ) Issued By ~ r r~ ~` I C.` Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedIJ Quarterly Reports Assessor ~ ~ TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 Building: rmit o 5 ~ 2 Date ~----~7.1 ~ ii-1_ ~, j ~~'~r~.e~ (Work must 1S/e started~dvithin 120~days) w '`~ ,_ ,~~ ~ Name t Phone ( ) R ~ ° t .~ ~ ~~ Address , City, T P St ~ Zip Code ~ U ~ ~ Site Address ~ , R Assessor's Parcel No. ~~ ~ - J g ,~ ~~ ~~ ~ Lot Size (sq.ft/acres) o a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name '' ontact Phone ( ) T Address City St. Zip Code T R License No. _ Exp. Yelm Bus. Lic. No. Description of Work , ,,~ /! j} ~CG"' v OFFICIAL USE ONLY ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,~,,~ ~{,,~ ~ j , ~ ~ ~(~ Sets of Prints Other Plumbing. Permit # WA. ST. BC. Fee (4.50-New Const. Only) , 0 ,~ Mechanical Permit # TOTAL FEE ~ ~, jt,/ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~ Date.,+/~4: /,',~, / r' -. ~ .-~_ Firm: 9,, '~ f~.~ Plan Check By ~~~ ~... . !J Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC _/ ~ ~7 CITY OF YELM Building ermi N°_ 5 ~ 5 ~ BUILDING DEPT. Date ~ phone: 458-8407 (Work mu be star within 120 days) r w Name ~ `~ Phone ( ) ~ ~ ~ N j a Address ` / ~ f ~ City St. ip Code ' site Aaaress - ~ • ~ v R Assessor's Parcel No. ~ ~ ~~~ ~fJ Y !~ / Lot Size (sq.ft/acres) 0 P , e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 77 ~ ~/~ } ~} N Name ~~ ~ ~act y} -- ,~ \'~d.(.~~'1.- j"~1 ./~-+ Phone ( ) 7 •? ,~ ~ 7~[ a T ""' ~~ Address City St. Zip Code T a License No. ~ ' ~ Exp. Yelm Bus. Lic. No. Description of Work ~ f~ ~ 'f. OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ~ City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other `f ~~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. O nly) ~, - (~ Mechanical Permit # J ~... . ~/ TOTAL FEE e ~ ~ Plan Check B f ~ /~ Minimum distance of structure from property lines: Issued By ~ Front to of Road Final Insp:l~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature C. Date ]~--z - 1(, Quarterly Reports Firm: %~' ~^ ~ ~ ~ ~~c _~ c.~,'~ H C_ Assessor-// TRPC ~ ~ CITY OF YELM Buildin .Per t ® ~ ~ 6 BUILDING DEPT. Date phone: 458-8407 .-~ (Work must be started wi in 12 days) w Name Phone ( ) N R Address //'~/~~ /~% fJ~ ~..~'~o }'?./_ ~/ ~ : ~,~" City ~ I St.~/ ~~ Zio Code Site Address ((~'~f,~(} ('~ jj~j" ~ ~~', ~ ~j V o / Assessor's Parcel No. ~j'~~~~~'~'~j/ (,~(~~ ~ Lot Size (sq.ft/acres) P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name '~ ~ ~'~ ~ Contact Phone ( ) T '~ Address ' City St. Zip Code T a t/~~ / License No. rl ~ ~f l ~ ~ ~ ~ ~ /~. !~ Exp. Yelm Bus. Lic. No. . ~ ~_'~/7 Description of Work '~ !~ +~ 1 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value C ~ Sets of Prints Other f'.;`` ...~ s` ~. f. Plumbing Permit # ..~ x.;<. Yt WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Plan Check B ~' Minimum distance of structure from property lines: Issued By Front to of Road Finallns ~_~!! Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~ ; ~~ t• Date ~- 2 ~,- Quarterly Reports Firm: Assessor ~ J TRPC _/ ~ NEW UEV1=LU/'MENI /NEW (;UN5111U1;11UN (;HEC:icLISi SITE ADDRESS: Permit # ~ Fee If ~ Receipt If Applicable Applicable # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~. ~ ~ u ~ S >C ~ $1,000.00 ~~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ r~ '~l}~, aQ `~~ WATER SERV. ORDER ~~, ~~' POWER Pugeh Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW rl ~ ~~` 5Z l~/~, G7~~! Y v«I z°`5 , 5d BUILDING PERMIT 5 0 (Ci0 ~~ ~ ~~~ ~~ ~ ~ C. Fee PLUMBING PERMIT MECHANICAL PERMIT ~ ~~ ~ ~~~ r ~ , ` ~Q ~~ ~~ 1.~~>~ Ll c~l~ ~.T.- !' ' ~` Yf,~~ ~ ~ fry GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 0 w N Phone ( ) 7JQ " % J a Address ~ ~ ~ City St. Zip Code Site Address , a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Nam "' ~ `j , ontact Phone ( ) '~~ - ~ j T q x ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. ' ' Description of Work r' OFFICIAL USE ONLY ~ Permit Type: Sq. it. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value " Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit TOTAL FEE ~ Plan Check B Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. , ,. . ., ~- _ _ . z... . Firm BuildingJPer it ~®~ 5 Date ~~ - (Work must started within 120 days) ~~~~~~ ~1 Quarterly Reports Assessor~~ TRPC ~ ~ /~ ,, CITY OF YELM Building er 't °_ ~~ ~ 5 J BUILDING DEPT. Date 'hone: 458-847 (Work must be started w hin 120 days) / ~ t '"~ ' N ,; i`I ~_,~ '~"" Ph ne N ame o ( E a Address ~ t City St. ip Code Site Address P R Assessor's Parcel No. ~ ~ (~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ontact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential .Sign ~ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .Heat: Electric Gas Other Sepa Exempt Y N -~~ ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~, Sets of Prints ~ ~ ~ Other / ,,* Plumbing Permit #.~L WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit #~ v~ ~) TOTAL FEE , Plan Check B Minimum distance of structure from property lines: Issued By Front to of Road Final lnsp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: Date ~ --~~ ";~ Quarterly Reports Assessor) / TRPC ~ J j- SITE 7-DDRESS s SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS •WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEW,ALKSICURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS Permit // ~ Fee II ~ Receipt If Applicable Applicable # Comments ~ /~~/ 5125.UU ____~- PERMIT/INSPECTION ,~T $1,000.00 PER ERU HOOK-UP /V~ /U, N/~ PupeF Power 468-7731 Yelrn Tele. 468-2171 ;~~ ~~/) -. ,~~~ ,- Y-~~ lug cS ,~ 8~~3~ 5D : ~~. L~~, c, r~~« 330.00 CITY OF YELM Buildin P '~~ ~,~ 5 8 5 4 BUILDING DEPT. Date ~~/ phone: 458-8407 (Work must a started within 120 days) Vic. ~-~. ~~~'~ w ~. Name ~ ' ~ Phone( ) N ~ J ~ r':° a Address f• City St. ip Code Site Address a Assessor's Parcel No. ~~ ~~~~~~~~~1 Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Str ctures, if any: c N Name Contact Phone ( ) r Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. ~ Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Other Commercia City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value J / r~ Sets of Prints Other Plumbing Permit # ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # TOTAL FEE Plan Check B '~ j e Minimum distance of structure from property lines: Issued By i Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. n Final Insp:J/ Owner L&I Form Assessor Floor Plan and Permit SubmittedIJ Quarterly Reports Firm: Assessor_/_~ TRPC ~ ~ 7~ SITE ADDRESSt Perrttll fE If Applicable Fee It Applicable Receipt # Comments SEWER PERMIT n J ,~j- 5125.UU PERMII~/INSPECTION SEWER LATECOMERS ~ ~~ $1,000.00 PER ERU HOOK-UP "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,/~,f ~~ WATER SERV.ORDER /~ ~~ PugeF Power 468-7731 POWER Yeltn Tele. 468-2171 TELEPHONE 8TATElCO. APPROVAL STREET CONSTRUCT L~ ~ PLAN REVIEW ~~~' =r1~ILt~ cS ~5d ~~~` ~~ ~ ~~`~ ~~ ~~ BUILDING PERMIT / ~ ~ PLUMBING PERMIT ~ MECHANICAL PERMIT ~ ,~' GRADING PERMIT SIDEW,gLKSICURB3 LANDSCAPING YELM BUSINESS LIC. I $30.OU ADDITIONAL COMMENT8 CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin P r it No 5 Date (Work must a started within 120 days) w Name '~ ' I -- ~ ~ Phone ( ) a Address ~ ~ ~/~ 'f ~ ~ City St ip Code ~ .f ~ Site Address j ~... P R / Assessor's Parcel No. (f.! ,r~ ~~ [5 ~ "~ („~~ ~j ~ ~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any : c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T ~ ~~ R License No. Exp. Yelm Bus. Lic. No. / Description of Work ~ ~~ ~ /~" ! ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial~Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE ^`' Floor Plan Y N Building Value ~ ~ s-f - (~ Sets of Prints ' Other q / [~ `{ Plumbing Permit # /t/ WA. ST. BC. Fee (4.50 -New Const. Only) J (J Mechanical Permit # ~ ~~ TOTAL FEE U { Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. n re Firm: Plan Check B + ICJ ~ '1 Issued By f r Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports Assessor ~ J TRPC ~ ~ SITE ADDRES5t SEWER PERMIT SEWER LATECOMERS 'SEWER/SEPTIC SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMi7 GRADING PERMIT SIDEW,gLKSICURB3 LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS Perrnil i/ I Fee it I Receipt Ir Applicable Applicable # Comments ~ f/`A, $125.UU PERMII~/INSPECTION /1 //~ I $1,000.00 I ~ PER ERU HOOK-UP ~~ /U Puget Power 468-7731 Yeim Tele. 468-2171 ~~~~~~ Q 22 ; _', fi~ ,i-1 ~_ U ~J i ~~ . ~i ~~'~ ~~ ~/~ S3O.OU N AY =-~c~u«c~7 ~~ 1.~~.C~ F'cC CITY OF YELM Buildin Pe 't N° ~ ~ ~ 2 BUILDING DEPT. Date r Phone: 458-8407 (Work must b started within 120 days) __ ~ ;~ w Name , ~ r ,r ,, Phone ( ) N E ~ a _ Address `" City St. Zip Code nn ~ Site Address ~ u ~„} P R Assessor's Parcel No. ~ '~ (,~ Lot Size (sq.ft/acres) O a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~„~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ~ Sewer Septic Approval No. Other Commercial City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value W ~ r '~, Sets of Prints ~~ ~ ~ Other / , Plumbing Permit #-.L am-- ~~ JJ '~ ~ ~ j it #! y M h i l P WA. ST. BC. Fee (4.50-New Const. Only) y, [ an ca erm ec TOTAL FEE ~ Plan Check B ~ - ~ Minimum distance of structure from property lines: ~ . Issued By ' Front to of Road Final Insp:.1~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date ~ -~~f` Quarterly Reports Firm: Assessor J _~ TRPC ~ ~ T L.~ SITE ADDRESSt . Perrrril ~E If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~ I % /" ~ 6 5125.UU PERMIl~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~ 51,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~- WATER SERV. ORDER J Vr POWER PugeF Power 458-7731 TELEPhIONE Yeltn Tele. 468-2171 STATE/C0. APPROVAL STREET CONSTRUCT ' PLAN REVIEW // ~~~D' ~~ N~~~~~°/~t ~~ ~ S~1c'ILtt ~S ~~[S BUILDING PERMIT ~~ ~~ ~~ , ~,r~ ~ 1 ~j~ =~1 ~ ~~ L~~~C~ F~~C_ PLUMBING PERMIT 1 ~ ~' MECHANICAL PERMI7 1 V ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3O.OU ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. phone: 458-8407 ~`~ ~- z ~ ~~ G~ ~ Building P rmit-~~a , ~ S Date , ~~~ ~~_ ~~ ~ ~ ,r~~%~ ,-,, (Work must be started within 120 days) w Name ;" '~ ,, n ~,~._ ~ ~ , ~'/ Phone( ) ~ - ~ R r'1 Address ~j ~ ~~ ~ ~ City /' ~ St. ~ .Zip Code ~ Site Addressl~ , L!~`~•~~/ 4/j~ j~ Y~-~ ,~j~f,l f'•~/ Wf.J c~+-C.~ ~~ P R . Assessor's Parcel No. ~ ~ ~ ~~ ~, l ~ %~~~ Lot Size (sq.ft/acres) O P a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name '~ j '~ 1 ,(_ Contact Phone ( ) T R ~ Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. Description of Work ~' -- ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~` -- ''~ ~ ~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) f ~ Mechanical Permit # TOTAL FEE J ~ Plan Check Bye ~3 Minimum distance of structure from property lines: fi ~ Issued By ~ Front to of Road Final Insp:~~ Side Side Rear Owner L&t Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~ cr, ,,/ y"~ % z-~-' 1 l.: ~ , - L .~,~ Date ~ f ,~ Quarterly Reports ~ ~ Firm: Assessor~ J _ TRPC / ~ ~L..s ~~J f ~,% CITY OF YELM Buildin Pe mQ °.~-j ~ 5 ~ 5 d BUILDING DEPT. Date ~ phone: 458-8407 (Work must be starte within 20 days) w Ph zd Z ~~ ~ Name one ( ty) p y , N E R Address i St, Zip Code Site Address ! ~'~ 1 ~ ~ '~, ~ R Lot Size (sq.ft/acres) Assessor's Parcel No. 0 P E R Subdivision ~ ~ ? Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code T a , License No. ~ Exp. Yelm Bus. Lic. No. Description of Work , OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other / - .City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other ~~ Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~~ , ~ ~ `~ , ~ Sets of Prints Other Plumbing Permit # z,~1 ~/ J ` i l P i M ~ WA. ST. BC. Fee (4.50-New Const. Only) f e echan erm ca t # h ~ ~ C k B TOTAL FEE (,> ( Plan hec y Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations inc i ~ g-anrtng and land subdivision, and in addition, all covenants, easements and restrictions o I i s coniracfarther certify that I am a currently registered contractor in the State of Wa ing o . Signature 1~ ~ "'"f ^`-'"" Date Quarterly Reports Firm: Assessor~~ ~ti~°TFS : TRPC / ~ 1; Property ncat in designated f.~.s~~d xalain ,~ ~ Prr~ ert flc~c~dec~ T.-8-96 3 j Flood nroofin reco~tencled .5 5ITE ADDRESS: Perrtr111E fee If Receipt If Applicable AppUcable # Comments SEWER PERMIT 5125.UU () ~~ ~l PERMIT"/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS a "WATER METER ~dd , ~d ~ 1 1D WATER SERV. ORDER 7~D • DD - PugeF Power 468-7731 POWER Yelm Tele. 468-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT 5 ~~U ~~6 ~ ~ y' ~ ~ ~d`3` ~~ `~ ~' ~~ ~~~~~ ~~~ L~~`C~ F~~C- ~ ' '~ MECHANICAL PERMIT ~~d~ ~~~ ~~ n~ ~ ~~~~ GRADING PERMIT SIDEW,ALKSICURBS LANDSCAPING YELM BUSINESS LTC. $3U.OU ~- ADDITIONAL COMMENT8 CITY OF YELM BUILDING DEPT. 'done: 458-8407 Building Permit No - (Work must be started with n 120 days) f ~ ~~' ' w f 7 Name ~ ~ Phone ( ) N E - R Address City St. Zip Code Site Address/ ~~" ~ f ' ~ ~ ; a Assessor's Pa I No. Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work -' 7 1, ~ ~ r~' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~! /~`~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE , (~~ Plan Check B Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature - ,e--y Date-,~ - _ Quarterly Reports Firm: '-`'' ~ ' Assessor~~ TRPC / / '~ J CITY OF YELM BUILDING DEPT. phone: 458-8407 w I Name . ~ ,~f`/ ! / J ~ d:~ I~J%~i`~ .~I r~/1 Building ~er it ~Q •~ 5 ~ g Date ~ ~ ~~`, ~ ~~ f ', (Work must be started within 120 days) Phone( ) E R Address City St. ~- Zip Code ~ er ~ Site Address ~. a Assessor's Parcel No. Lift Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. + I ' ~' ~;';~ Block ~ Existing Structures, if any: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~1 1 `~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) '' ;~lesidential Sign r Sewer Septic Approval No. Commercial Othe E '~ City Water Private Well Private System !. `Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value 'Sets of Prints Other 1 ~ o~f~- Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ i j TOTAL FEE ' (~ Plan Check By~--~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ_J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. t ~. Signature ~ % ~^ ~ ' ~ ~~,..~~= ' ~ _ -- - Date .f - /(~- ~ Quarterly Reports Firm: Assessor ~ J TRPC / ~ Y i CITY OF YELM Building r ~ it Lr~` ~ ~ 4 ~ ~ BUILDING DEPT. 1 C ' Date `hone: 458-8407 (Work must ~be started within 120 da s) N Name .~f , Phone (~ ) f E 7 /' a Address ~ ~ City ~ St. Zip Code Site Address F ~~ '~- O Assessor's Parcelrcel N~1 ~ ~ ~~{~ 2 ~ ~~1 Lot Size (sq.ft/acres) R Subdivision f _F7.ls~ l Lot ~.~ Block T ' Y OR Short Plat No. Block Existing Structures, if any: c o N Name J Contact Phone ( ) T R n c Address City St. Zip Code °a License No. f~~} ~r I[ 1r/r. ~E+ ~^~/ ! ~ ~ Exp. Yelm Bus. Lic. No. e... ~~ Description of Work "' ~ " OFFICIAL USE~NLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign _ Sewer Septic Approval No. Commercial Other City Water Private Well Private System `Shoreline Permit Y N deaf: Electric Gas Other Sepa exempt Y N ITEM BASIS FOR FEE FEE Flnbr Plan Y N ; Building Value ~ ~ ~ , bets of Prints Other Plumbing Permit # ~ e~ WA. ST. BC. Fee (4.50-New Const. Only) , '~~ sj Mechanical Permit # ~/ TOTAL FEE 1 Plan Check Bye ~ Minimum distance of structure from property lines: Issued By Front to of Road Final lnsp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted.J/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ;; ~ ~ Signature .~ f ~ - ,~ ~ Date S ~ ~ ~- ~f Quarterly Reports Firm: /~+~~' CG~~~j Assessor/ TRPC ~ ~ r ~i SITE ADDRES5s Permit 1E If Applicable Fee It Applicable Receipt # Comments SEWER PERMIT 5125.UU ` = y/~ ~" PERMIlYINSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 4 ~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~d'~~ ~® WATER SERV. ORDER ! ~dra~ - POWER PugeF Power 458-7731 TELEPHONE Yelrn Tele. 468-2171 STATE/CO. APPROVAL STREET CONSTRUCT ' PLAN REVIEW ~ ~, ~~ \ ~~~~-'~ ,~ /,~ > ,~/ 7~1C ILIA ~'S ~ CGS BUILDING PERMIT ~ '~- 7' 7 1 ~ ~ ° ~a ;-~ /' ~~' ~ ~~~~ C~ E-~~ PLUMBING PERMIT s 3~3 ~~' ~~ ~ '~ ~~ ~ MECHANICAL PERMIT JJ~'"/ / ~ (' ~ ~~~ ~',~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.OU ADDITIONAL COMMENT8 x CITY OF YELM BUILDING DEPT. done: 458-8407 Building Permit ~°_ `~~; ~ ~ 4 7 Date - ~-T-~ / TM -~,(-~ _ (Work must be started within 120 days) ~_~ ~~- ~ I w Name ' ,~~ ~ ! ~ ~' i~ _ r'' Q ~~. '~ ~ Phone( ~~"~_ ~1.~_` -.~ N a Address ~~ ~.1- `~~,' t )~7 _ St % Zip Cod' "~``~~'"..~. Site Address ~ ~"~ ~ C ,~ R J Assessor's Parcel No. (_ ,"~ ~ ~,' ~ r °', , .~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: C N ^ Name ~ - ~~ ~ ~ ~ ~ ~ ~ ; ~ Contact / Phone ( r,~'~ ~~ ~ ~ "~'~ - T n ~~ ~ ~ '( ~ ~ ~ ~ ~ ~ ~ ~ ~' Address ~ ~ ~ C ; t. f Zip Code.~~ - "~ T a License No. ~ .\ y1~ a Exp. `.; Yelm Bus. Lic. N r'f,~,~,~, Description of Work / ~ '- ~~~^"~ ?{'~ OFFICIAL USE ONLY ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,,} - ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50- New Const. Only) r 1```~ Mechanical Permit ~ ~ ~-~} ~~ ~ ~'~~i, ~~ ~ ~. i TOTAL FEE ~~ e.. ~'~~') Plan Check r' '~ rr~ Minimum distance of structure from property lines: Issued ~~,.->~ k:_ i Front to of Road Final Insp:/~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~.~ ie` ~ i7 U ~'f .. ~ Y i.._L_L / Ew~~ F Firm: l Date ~,/ ~ ~ Quarterly Reports Assessor ~ J TRPC _~ / CITY OF YELM `BUILDING DEPT. phone: 458-8407 ~~~ ~~~ N Name r~ ,)~ } R Address '4- ~ " ,~ Site Address ~ ~ ~~ / ` ,~"" R Assessor's Parcel No. ~ J~,l~SrvG t',~~ o P ~° :~ e Subdivision ~ T Y OR Short Plat No. Existing Structures, if any: N Nam `m- T R ~ Address i~ °a License No. ~j}~ ;1 /( 1,~ ~ ~ ~~ f~~ Contact Buildin Permit ~ f- ~ g 4 Date ~ "`_ ~ ~, _. ~~ . (Work must be started within 120 days) y Pho~~n/~je~E`-~U4"j) f1 ~.l! ~-t, ~'~,~~~ ~~ ~ ~ ri'I/1lDbt. ~JIT~iP Code ~~ ~/1.~~ Lot Size (sq.ft/acres) Lot ~,~ Block p.,y Block ;;~, ¢s, Phone( ) City St. Zip Code c~ ~7 Exp. Yelm Bus. Lic. No. ,~ .~/f `7 Description of Work ~ - , 'j' J OFFICIAL USE ONLY Permit Type: Sq. ff. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. ~ Commercial Other City Water Private Well Private System Shoreline Permit Y N .Meat: Electric Gas Other . Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,~ , ~ ~.. ~~ (~ Sets of Prints ,,~~''~ ~~ ~~~~,,,,~~/ Pl bi P i ~ Other ng erm um t # WA. ST. BC. Fee (4.50-New Const. Only) '~~~ (~ Mechanical Permit #LZs..i / u TOTAL FEE ~ Plan Check By, Minimum distance of structure from property lines: . ~. Issued By Front to of Road Final lnsp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ_~ ulations including thos verning zoning and land subdivision, and in addition, all covenants, easements and restrictions of reco f ap ying as a cor~lraeter; t-furttrer~ertify that I am a currently registered contractor in the State of Washingt n Signat~re•~° -.._~ "`~~~~~ ""~"~`~'"" ~~ ~ Date Firm: Quarterly Reports Assessor-/_~ TRPC / ~ 7 SITE ADDRESS: ~~ < `~ Permit ~~ If Applicable Fee Ir Applicable Receipt # Comments SEWER PERMIT 5125.UU ~~ ~ {~ c PERM1171NSPECTION SEWER LATECOMERS "SEWER/SEPTIC 31,000.00 (' ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3G~,C~ O q~iC~" WATER SERV. ORDER `~~(~,~ ~~ I~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 468-2171 STATE/CO. APPROVAL STREET CONSTRUCT ' PLAN REVIEW ~ s~` S~ __l ~r~ ,~ Y' ~1C I Lll CS ~ ~ aCf BUILDING PERMIT ~ > 5~-7(~~ ~Cg B~~d ( ~~i~~ ! L~~,C~ F~e~ PLUMBING PERMIT 5~~~ ~~' ~ ~f `-' MECHANICAL PERMIT ~~~y~ ~ l~ ~~~ /~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENT8 CITY OF YELM Building Permit N~ !/ 5 ~ ~ ~ BUILDING DEPT. Date ~'~"~f~ ~C~G' phone: 458-8407 ~,. (Work must be started within 120 days) w Name Phone ( )'rj`~ 4 N R Address ~' City St. ip Code ~ rf ~' " ~~ 'C Site Address ~,, ,~~ ? ~5~ ~ ~ ~ , ~" P R Assessor's Parcel No. `j ~~ ~, ~®~ (~~~ n ~(Jl Lot Size (sq.ft/acres) O P a Subdivision Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: 0 N Name ~ J Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work , ~°~r -' ,, ,~; ,~~ , OFFICIAL USE ONLY r Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints r Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~~ ~ T OTAL FEE 1 Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. lying s a contractor, I further certify that I am a currently registered contractor in the State of Washington'. ~ ,, nature Firm: I~ Plan Check B r Issued By ~ , / Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted-/_~ Date S' Quarterly Reports Assessor~~ TRPC _~ / CITY OF YELM BUILDING DEPT. '+hone: 458-8407 w (Name ~~ ~/~Z..~~J ~~.r~_ ~l~ y~t " N F J - ~ /f \ Building Permit ~°~ ~ ~ 3 Date ~,~'-~,~` `~~'=' (Work must be started within 120 days) ~~11 Phone( ) " Address ~ '^` City St. ip Code ~-f Site Address ~ R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ,~,,~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ t OFFICIAL USE ONLY / !9 ~ Permit Type: n Sq. ft. per floor: (1st) (2nd) .Residential Sig Sewer Septic Approval No. 'Commercial Other City Water Private Well Private System ~horeline Permit Y N ,'feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE (~~ I Minimum distance of structure from property lines: ~, Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. t~ Signature ~ ! ~ ~~ -, Date ~ ~ / ' ~' r-1 . ,. Firm: t'' t 7 °~ Pti ~ __~'r i~ ~, T"'" :- .. Plan Check Bar. ~ ~ ,~ /~ Issued By ~.. ~~ Final Insp:~J Owner L&I Form Assessor Floor Plan and Permit Submitted-/_~ Quarterly Reports Assessor-/~ TRPC _/ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 °w IName~~if P o f ~ ~ ~ ~~~. ?~ ,f ~'~)f ,~ 1(~ i 1 ~l~,~ i _X .~ }~i ~i/~.~.-' Phone( a Address~'~~ ~, '~~' ,~ ~ ~~'+ •.City 1-~~ ~ \ S . Zip Code `- ' `.~ Site Address~"~ ~'~ ~~ ~ ~ ~~ . .V ;~ ~ ~ ~' ~, • i ~ ~ '~ ` ' -.. ' ~ .., ~ ~ ~ ' `~ ~ ~ a Assessor s Parcel No. ~ ~ ~ > f f ' , j ~ ~ ~ Lot S ize (sq.ft/acres) o P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N NarYfe~• ~,[,.~~''`) ~. "`" fi~ ~~ j.... ~ Contact Phone( ) r n Address ~ ~ f ~ _ -` ~ ~ r--' ,~ J ~~~ ~. ~~~ ~ Cit~p , ~~' / k ..,/• ~~, , ~t~~`~„~~l •~ Code °a ,, License No. ~ ~ f • ,~ r Exp. Yelm Bus. Lic. No. Description of Work I j ) , i ~' ~ OFFICIAL USE ONLY - Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No . Commercial Other City Water Private Well Private System Shoreline Permit Y N ,4eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~' ~„_..~1f Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) r Mechanical Permit #~ TOTAL FEE L Minimum distance of structure from property lines: ,f,::` Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Si nature Date 7~.,. „~ / ,t y Firm: ~ • ~ c~ ~ LI tri ~'.~~ f _4 C~+r~ SG' t/l ~,~'7 1, J~r~z ~. ) Building Permit~~® 5 ~ 3 Date _~ ~ "~-~•- _ ~"~ ~,1 (Work must be started within 120 days) ti ~~ ~ ~~ Plan Che, ~- -~~. ,i Issued B~ ~~ ~~?'X''3~7~..~_ ~ ~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC J / ~ f._r ,~--~ ,~, .~ ~~,. __;,.._. .~'"-' ; ~ CITY OF YELM . BUILDING DEPT. Phone: 45 -8407 ~.a T~~ Building Permit N~~ 5 ~ 3 5 Date ~" ~~'~ - ' (Work must be started with n 120 days) w Name ' "' ~ Phone ( )"~ (p"(~ p y N E a Address ~ , ~ Ci `~ St. ip Code Sit Add ~ ~~9 ~ e ress , P R Assessor's Parcel No. ~ ~ ~ ~ Lot Siz e (sq.ft/acres) O , ~'~ ~ ~ ~ a Subdivision ~fx~/~ ,L~~ , ~ C..~'~t .i.'~k.".~fC.1 Lot ~ ~ Block T g Y OR Short Plat No. Block Existing Structures, if any: 0 N Name ~ ~ Contact Phone ( ) T Address City St. Zip Code T °a License No. ~~ Exp. Yelm Bus. Lic. No. Description of Work ra ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other _ City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value (Q ~ 6 ~~, © 5© , ~(~ Sets of Prints Other ~ ~}/ Plumbing Permit #-i~~~cl~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ~~ Mechanical Permit # TOTAL FEE , ~® Minimum distance of structure from property lines: Plan Check By { ~ Issued By ~ r ~`~ ~ j Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 1 /. ~-~--~~ Signature; `- ~-~'~.¢.-f.~~ _. ~,-..c, . Date~j~,~ ~ °-'G, Quarterly Reports Firm: E? ..,~~,r__..-~.. .n-.-' .r.,..~,c..<,.o Assessor~~ r1 ,~; TRPC ~ ~ SITE ADDRESS: Perrnil ~E Fee It Receipt If Applicable Applicable # Contntents SEWER PERMIT 5125.UU ~~) PERMIl~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~ PER ERU HOOK-UP SITE PLAN ACCE83 ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER /~~/n~ °~Od ~(l(~ WATER SERV. ORDER ~Q~,,~D G - PugeF Power 468-7731 POWER Yelrn Tele. 468-2171 TELEPHIONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT c 5 0 3~ 22 f ~ J' QUO SO~~®a ~~ ~ J ~~ _' ~1~ I LlC CS ~ ACS ~~~~C~ F'er PLUMBING PERMIT ~~ l ~~' ~~ ~ MECHANICAL PERMIT J~ ~ /D "'i j~ ~~ ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. ~honne: 458-84107 ~U~~~w w Name .; N E a ~ /y "7 Address City St. ~ ip Code (~;5 Site Address ~ i R Assessor's Par No. ~ '~ ~ Lot Size (sq.ft/acres) o P ~ E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name, Contact Phone ( ) T R ~ Address City St. Zip Code T oa License No. ~ ~,,,~ Exp. Yelm Bus. Lic. No. ~ ,, Description of Work OFFICIAL USE ONLY Permit Type: ,~` Sq. ft. per floor. (1st) (2nd) Residential ~// Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~ ~..~, tfJtP ~ , ~~ Sets of Prints Other -~ /~~ Plumbing Permit #_s~ 1~ ~ 'y ~ ~ ( ~ ', Q(~ ~ WA. ST. BC. Fee (4.50-New Const. Only) , „! ,,1 U /_ Mechanical Permit #'... TOTAL FEE ~, .,~ (~ Plan Check B Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:Jl Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ff°. ,,, ~~ - ,~.~,,, .~ Date -,`„j ~ M~ Quarterly Reports Firm: u=•'_-•ri c-ti ,c..- ~.~ t.._. Assessor ~ / _ TRPC ~ J Buildin Per ~0 5 Date ~~ ~ ~ f ~-' (Work must be sta~n 120 days) Phone ( ) -' ,~ ~(~ SITE ADDRESSs ~~ . Permit # Ir Applicable Fee Ir Applicable Receipt # Comments SEWER PERMIT 5125.UU i~/`> PERMII~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~~~t .) PER ERU HOOK-UP SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~b~, D~ WATER SERV. ORDER 7Q~ , ~ 6 '~ j i~ POWER Puget Power 458-7731 TELEPtIONE Yeim Tele. 4b8-2171 STATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING ~~3"7' 5~ ~5 5 ~ 4 ~ ~~11 ~r' `5v S~Cp- 5t~ ~3 ~ ~~ 7 ~), 5~ ~~~~ ,~,~ 1`" ~~ U ' ~4~'C, F~~~ YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENT8 CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~~ ~7-- ~~ Building Permit ~~.-. Date~~:~ _ f..~~> (Work must be sta~~''rt~~ed..~~within 120 days) ~ ~~ ~ .tC~ N Name `il /~ '~ Ph one ) .- ~'` o ~ a Address / Zip Code t. 7 ~ ~ ~ ~ ' ' ~ ~~ ~~ Site Address ~ l~ Utlj /1 1 ! t t } U~` . ~ ~,/~( ~ ) 1 a Assessor's Parcel No. ~J'~U~1 ~DtJ ~,f/ f~? 1~~~1,~/ j~1%~~ ~ j ~ Lot Size (sq.ft/acres) a Subdivision ~~ /~- o , Lot ~ Block T y ~ Y OR Short Plat No. Block Existing Structures, if any: c N Name /1 ~ ~' ~ Contact Phone ( ) T •- Address City St. Zip Code a License No. ~ Exp. Yelm Bus. Lic. No. ~ /1 Description of Work 1/ 5 ' ~',~ ` OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) ResidentialJ! Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ rj ~ ~ , ,~~ Sets of Prints Other / Plumbing Permit #~~,L ~ C~ ~ WA. ST. BC. Fee (4.50-New Const. Only) a ~~ Mechanical Permit # TOTAL FEE ~ , 4,J~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the~ro osed structure is in conformity with all applicable City of Yelm reg- ulations includin os rpiag`Foning a land subdivision, and in addition, all covenants, easements and restrictions of r cor "1- 'ng as a contract , I further certify that I am a currently registered contractor in the State of Washi gt Signature - Date Firm: /' r:~' Plan Check By ~ ~ r %7 Issued By Final Insp:_/I Owner L&I Form Assessor Floor Plan and Permit Submitted-/_J Quarterly Reports Assessor~~ TRPC J _~ SITE ADDRESSs Permit f/ I Fee Ir Receipt if Applicable Applicable # Comments SEWER PERMIT $125.UU ,1,,.~~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3~0-~ d~~~ WATER SERV. ORDER IC~D•C.~./ 1 - POWER Pugef• Power 468-773 TELEPHONE Yelm Tele. 468-2171 8TATE/C0. APPROVAL STREET CONSTRUCT }(~ PLAN REVIEW ~ ~` ~~ (7~~~-~ p ~ / ~ ~ Y ~1GI l.~l ~'S ~ gC5 BUILDING PERMIT ~ 0 7 ~~~' ,~~'' ~Q ~ U__% ~~~~ C~ F~~~ PLUMBING PERMIT ~~~ ~ ~` ' U~ MECHANICAL PERMIT 5 ~~5 ~~~ ~~ ~~~~~`~ GRADING PERMIT SIDEW~ALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin~Permit ®r Date I ~ l (Work must be started within 120 days) N Name I ~ Phone(~}~) ..~/57 E a Address (~ Ci Zip Code Site Address ~g j~ f%_lt ~Y2(~?I,~i /1/! J ~~, ~ ~ o Assessor's Parcel No. ~~- Q `1~~ /~~ ,((~ ~ _k'~l~1# I n~~~j.?~~ Lot Size (sq.ft/acres) a Subdivision~,~~(f ~~ ~~ ~ Lot ~ 7 Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ? > Contact Phone ( ) T Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. Description of Work `' 'Y ~ 1. OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ j ~ Sets of Prints 77 it # ~ Jr~ Pl bi P Other erm um ng 5 ~' WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # TOTAL FEE r~ ~ j 3 Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of rec If p tor, I further certify that I am a currently registered contractor in the State of Washingt n. Signat ---- Date .'"",~, Firm: Plan Check By ~ !' Issued By t~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC ~ ~ SITE ADDRESS s ~ O j/ I[J(~~~~~J `~ ~~~ ~~ ~~~ / Permit /~ Ir Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 p~,~°~ PER ERU HOOK-UP SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER .3~6- ~ a3~~ WATER SERV. ORDER `7~Q , (}~ POWER Pugef' Power 458-7731 7ELEPI-IONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW /~ ~ ~ ~ % ~ ~~ c BUILDING PERMIT 5~ S~I~ F SSOc~, ~C~ ~ S' r1 c,I Lc~ t`S ~ ~ 5CS (,41, C, F~e~ PLUMBING PERMIT 5 ~~~ ~J` ~© u MECHANICAL PERMIT ~,3q'~ ~~~ 5~ ~~~~~ GRADING PERMIT SIDEW~I4LKS/CURBS LANDSCAPING YELM BUSINESS LTC. $3U.OU ' ADDITIONAL COMMENTS "DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM Building Permito ~~ 5 ~ 4 ~' BUILDING DEPT. Date 'T~S~ ~~r~' 'hone: 458-8407 (Work must be started within 120 days) w Name !' Y~ + '~ Phone ( )~~ -- Y ~7~ N a Address ~ ~ ~ c' ~ City ~ St. Zip Code ~ Site Address f r 7 ~ " r (rte a Assessor's ParSP,.~No. ~j~ Y i.~r'~~~(Ji~ ' Lot Size (sq.ft/acres) o a ,, ~ Subdivision ~~~~ f ~~ ,Q j (~~ ~rf ~ ~ Lot ,~{~ Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ rte,! ,~~A~ ~~~~'j„~ ~ Contact Phone ( ) T Address City St. Zip Code T a License No. ~if-~ 1 ~,~M,~ T- ~'~,~~ /~ ~ I Exp. Yelm Bus. Lic. No. / ~~'~ - Description of Work , ~/ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value p F ~ ' j 1 , ~ '` ~ ~ Sets of Prints Other ~ /} Plumbing Permit #-s~J~'~ WA. ST. BC. Fee (4.50-New Const. Only) ~, ~ Mechanical Permit #s TOTAL FEE ~ ~ , ~ Plan Check B ~' ~~ ,1 Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. f Signature "~.r- ~L ~ ~f ~ %~;~ Date „~ ,~ ~t Quarterly Reports Firm: /~`-TJE ~'--f ~`%C....~ , ~ p; -~-, Assessor-/_~ TRPC / / SITE ADDRESSt Perrttll /E If Applicable Fee It Applicable Receipt # Comments SEWER PERMIT 5125.UU :;~, - pERM1171NSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 , _~~ ~~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,~~Q, D~ ~ %',~,! WATER SERV. ORDER `j(~(~, ~~ j~ - POWER PugeF Power 458-7731 TELEPHONE Yeltn 7ele. 468-2171 8TATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEW~I4LKSICURBS LANDSCAPING ~~Z ~~a~ 5' 3 9~ f ~ ~l, 5C~ 5~~. sa ~ ~' ~~ ~~, ~~ `~ % a ~~ ' I11c Itc~ ~S ~ ~ MKS L~~,C~ F~e~ YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENT8 CITY OF YELM BUILDING DEPT. phone: 458-8407 ,~d~"~~? Building er ~0 5 ~ 3 6 Date ~°' ~` (Work must be started within 120 days) w Name Phone( ) N E ~ R Address City St Zip Code , Site Address , a Assessor's Parcel No. a Lot Size (sq.ft/acres) o ~, , R Subdivision Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name s Contact Phone ( ) T Address City St. Zip Code T R License No. ~ f { Exp. Yelm Bus. Lic. No. ~ ,j ,_.. ~ Description of Work OFFICIAL USE ONLY Permit Type: Sq. ff. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ ~, '~l~~, ~j Sets of Prints Other Plumbing Permit #~~~2 WA. ST. BC. Fee (4.50-New Const. Only) ~ (~ Mechanical Permit #s1~.) -I J ~~ ~~ ~ TOTAL FEE 7 ~ Plan Check B Minimum distance of structure from property lines: r Issued By Front to of Road Final lnsp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature `'~~:/~ "~.- ,(:~ % , :1f Date ~5 ~ ~' j'/ Quarterly Reports '7 f"~ o . Firm: //~/'r ,~;,r~raii. ~Z i G- ~>.~~ ~. -7" Assessor~~ TRPC ~ ~ ~~ SITE ADDRESSs Perrttil 1/ If Applicable Fee It Applicable Receipt # Comments SEWER PERMIT $125.UU v .~j ~~~-~ PERMII~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 " y~~ PER ERU HOOK-UP SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~, ~~ ,,ss~~ ~ ) o./ WATER SERV.ORDER /a~ ~ ~~ -~J~C" i~%7 - POWER PugeF Power 458-7731 TELEPf10NE Yelm Tele. 468-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW //-- (P ~' ~ ~ ~ ~ ~~ Yt1c~~ ~S • -5~S BUILDING PERMIT p J O ~~' ,~i/~ T 7~~d ~ ~ ~~~`C~ E~~~ PLUMBING PERMIT ~ ~ ~ ~l o f' ~~ MECHANICAL PERMIT ~ ~ ~~ I 7 ~• ~~ G1 ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENT8 CITY OF YELM BUILDING DEPT. r~hone: 458-8407 ~~~ ~~~ Building weer ~ ® 5 8 3 ~ Date (Work must be arted within 120 days) ..-, w Name ~~ - ~; Phone( ) ~ E ~ ~ R Address City St. ip Code Site Address ~ , a P R Assessor's Parcel No. ~ Q ~ Lot Size (sq.ft/acres) O ~ + ;; ~ ~ a Lot Subdivision J Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code T a ~' ~ Exp. Yelm License No. ~ Bus. Lic. No. a Description of Work :/ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value [°j 5 , Sets of Prints Other Plumbing Permit #_yZ~LZ_ ~ ~~ 53/3 P WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical ermit # J ~/ TOTAL FEE 'Y / ~ ~~J Plan Check B e Minimum distance of structure from property lines: Issued By e Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~. ~ ti •, ~ ~.~•-~..._~: Date ~ "" '~ ` ::~; Quarterly Reports Firm: Assessor-/J TRPC J / s t' ~t J SITE ADDRESSs Permit 1E Ir Applicable Fee Ir Applicable Receipt tf Comments SEWER PERMIT $125.UU ~ ~ PERMIl~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 r' ~;L~ PER ERU 1-IOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3©~. O ~ ~ =;U `~~ WATER SERV. ORDER ~~~ a '~ ~=;L> ~ POWER PugeF Power 458-7731 TELEPFIONE Yelm Tale. 468-2171 STATE/CO. APPROVAL STREET CONSTRUCT ' PLAN REVIEW ~ Z j ~ ~~ n ~~ I'-1~IL~ ~S ~ -riGS BUILDING PERMIT 58~~ ~~~~ OCR ~ L~~,C~ F~~C- PLUMBING PERMIT ~~ ~~ O ~ . ©C~ ~ MECHANICAL PERMIT a 5~ I~ ` J -`I l ~ ~~ ,~'~~ U ~ ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. phone: 458-8407 ~T ~ ~~~ Buildin~ermit N® 5 8 3 Date ~~lJ ~-~' ~ . ~ ~'~"~'~ ~'" (Work mu be start~~with~20 days) °w Name ~' Phone ( ) a Address , s . City j .-- St. ip Code Site Address l~~`~~ I/ G(_/~(..~~X . ~~~ P R Assessor's Parcel No. ~L, ~~/~ ~ ~ Lot Size (sq.ft/acres) O P E R Subdivision ~ Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: N Name `~ "' ~ Contact Phone( ) T~(~~v`~ e T Address -'} ~ / ~ Cit ~ Zip Code y St , , y . T °a License No. ~ ~ _ ~ ~ ~'~/ /~ Exp. Yelm Bus. Lic. No. ~~~~~ Description of Work ~ ~ ~ ,/ / OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N :seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ ~~ Sets of Prints , Pl bi P i ~ Other um ng erm t #_ ~ ;3 WA. ST. BC. Fee (4.5 0-New Const. On ly) ~ ( Mechanical Permit # TOTAL FEE ~ '~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~~ rat i e ' Plan Check B ,. Issued By Finallnsp:~~ ~ Owner L&I Form Assessor Floor Plan and Permit Submitted-/~ Signature ~ ~ ~: .~* j + ~ Date' Quarterly Reports ~~ : - Firni ~"• ~ ~ r _ 1 Assessor-/~ TRPC _/ ~ SITE ADDRESSs Perrnil /~ Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT $125.UU ~ l PERMII~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ ' ~ PER ERU I-TOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~~ ~~ WATER SERV. ORDER ! GAD, ~ +'I ' r - Puget Power 468-7731 POWER Yelrn Tele. 468-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT • - ~ 3~; ~~ '?~ ~( ` PLAN REVIEW ,, Yr1cILc~ ~'S ~ `CS p rJ ~ 0 ~ / ,~ J ~ 7~ ~~ ~ C~ ~~~~ C~ F~~~ BUILDING PERMIT ~~" / ~ ~`' ~~ ~~'~ PLUMBING PERMIT 5 ~~~ ©~ 7 1 °` ~'"I MECHANICAL PERMIT ~ • GRADING PERMIT SIDEW,I4LKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.OU /~ ADDITIONAL COMMENT8 {~~ CITY OF YELM BUILDING DEPT. '.gone: 458-8407 Building Permit ~°_ ~ ~ ~ ~ Date (Wo~rJkfmufs~t~ started with(~in 120 days) w --- / ~ Name (/ 4t--~,..[..c~ f:+,..:.c ~G~.-*`d-~--x'~.~-''1-mot.. ~a~ Phone( ) ~~. ' r' "~~, N E a / ~r +V ~"' Zip Code ~%'~ ~ f ' City St :, f Add ~ j ' ~ ~ f~ ~ ~ `s . ~ ( r,, ress ( , J~,;~, ~ - GC,~ . ! ~ a i~ f f ~ Site Address , f ( -~/ rf ~ F a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: C N Name ~, Contact G ~ ~ ~ r, ; f``a Phone ( ) ~~r`~.. T i^~ ?i Address F ~ (~ , ~~4 ~ City St. Zip Code ; r a ~ License No. ~ Exp. ~ ~ ~ ~ • ~ Yelm Bus. Lic. No. ~~ Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N peat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ,~~, ...~~.,~ ~ I s ~ U Plumbing Permit # WA. ST. BC. Fee (+d.50-NeVV Const. Only) ~ `~ [;~ Mechanical Permit # TOTAL FEE ~"'~ r Plan Check By t ~~ Minimum distance of structure from property lines: Issued By _L'`> ~' '~ Front to of Road Final Insp./_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Assessor ~ J TRPC _~ ~ CITY OF YELM Building Permit N° ~ ~ 3 2 BUILDING DEPT. Date ~~"'~(_c" ~"~ hOn@: 458-8407 (Work must be started within 120 days) N (Name t~ [I"t.~°jfj ~ ~~t.~{~'1'~ ~C.~[1~l Phone ( )'~(~~= ~~'] 1- a Address ~ '- City St. Zip Code ff~ Site Address P R Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ C o N A Name ~' ~ ~ Contact //~ ) Phone ~ T Address ~ ~ i City, t. Q Zip Code P T a License No. Exp. Yelm Bus. Lic. No. Description of Work `~ ~ ~.5 '~ ~ ,''~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign , l Sewer Septic Approval No. '` 4 ~ Other Commercia City Water Private Well Private System + 1 a` . Shoreline Permit Y N pr .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~ , ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~, ~(~ Mechanical Permit # TOTAL FEE ~ ~ ~~ Plan Check By ~ ~ r Issued B r Minimum distance of structure from property lines: Y Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Was~hi 7ngton. Signature .1~ ' Date ,Z(~ . Quarterly Reports Firm: Assessor ~ ~ TRPC ~ J ~ :~ CITY OF YELM Building Per'~}it ~'°_ ~ 3 Q BUILDING DEPT. Date /~`-~--~ ~ ~1 t-/%~ 'hone: 458-8407 fy~,e\ J" ~~~\~//^,('Work~".mrf/ust be started within 120 days) _._ ~! 1`` JF ~ 1 ~~ w _ __ r Name %~ / ~ Phone( ) N r a City St. Address , ~ Zip Code Site Address I P R Assessor's Parcel No. ,r'? ~ '~ l~ f ~ ~%~ 1 Lot Size (sq.ft/acres) O R Subdivision Lot ~~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N t. 9 ~ Contact ~ N ' ' ~ '~ Phone ( ) ame ,, T ~' Address City ~ ;i ' f St. ip Code T a / License No. Exp. Yelm Bus. Lic. No. i ~ r ' / Description of Work OFFICIAL USE ONLY , Permit Type: Sq. ft. per floor: (1st) (2nd) 'Residential Sign r Sewer Septic Approval No. ~ ~ Commercial Othe City Water Private Well Private System ~ Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other '~, Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # J a TOTAL FEE Plan Check By ~ Minimum distance of structure from property lines: Issued B ~ r , Y Front to of Road Final Insp:l~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. r Signature - 2 Date '~i~,r' ~ ~ , Quarterly Reports i. ' Firm: Assessor~~ TRPC ~ J i +~ IC./ J CITY OF YELM . BUILDING DEPT. ' ~hone:458-8407 Building Pprr~tit N® ,~ ~ g Date °~'~ - ~ ~' ~ (Work must be farted wi hin 120 days) ~'~ o(~~~~ `~ w ~ "~" N '' /1 r n _, Pho e ( ) ~•c' - (~ y ame ( E R Address . ° ' City St. ip Code ~~ ~ ~ ,' Site Address ~' R Assessor's Parcel No. ~~T ~' Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: o N r Name ~ ntact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work '7 '~ ~ ~ ~ OFFICIAL USE ONLY } ~ " 7 {"" ~ Permit Type: Sq. ft. per floor: (1st) 4 (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ity Water C Private Well Private System Shoreline Permit Y N , t Meat: Electric , Gas Other Sepa Exempt Y N ` ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # '~~ ~ T OTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as contractor, I further certify that I am a currently registered contractor in the State of Washinotmn. ~ ., Firm: t~AIN'1°AZN A SECC~R~" AREA ARC`iUNL? nEMt? SITS?' AT AT.T~ TIML7S TTI~fTII~ W®RIC TS C~MI?'?~t~TE°I?. r P Plan Check B , Issued By ~ Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted-/~ Quarterly Reports Assessor~~ TRPC ~ ~ ~, .:?,SCARF [3TII.7:TY C+~?NNF."~"_"?`~~NS. CITY OF YELM BUILDING DEPT. yho n--e~-:'`458-8407 N Name ~,~..f~~ t .,/r~~" 1,4k F 1 / i Building` P,err~it NC,~ °_ ~~ 5 ~ 3 Date ~~ ,,~~ ~~ r ~l (Work~mu~st b.-e-~st~art''e~d/wi't"h~in 1c20 days) Phone (~~_~/~,~ - GYM i. 1~ era,-~,~ t " Address Vity ~ at. up ~.oae ..^ Site Address A Assessor's Par No. Lot Size (sq.ft/acres) E Subdivisio , ,? Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name Contact Phone ( ) r Address City St. Zip Code T oa License No. Exp. Yelm Bus. Lic. No. ~ Description of Work ~ r~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Y Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ~;, ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other Plumbing Permit #~~ ~~ r i l P it # M h WA. ST. BC. Fee (4.50-New Const. Only) t erm ec an ca TOTAL FEE Plan Check By { Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ,.' Date .~ ~ !~P r Quarterly Reports Firm: r(~ f{, ,r . ~ ~ ~ ; Assessor_~~ TRPC _~ ~ ` ~~3 SITE ADDRESS t /~~~~ /11t~~1:~~rlJ-~,1~ ~~}, ~ Permit # ~ Fee If ~ Receipt SEWER PERMIT SEWER LATECOMERS "SEWEIUSEPTIC SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ADDITIONAL COMMENTS If Applicable Applicable # Comments $125.UU I ~ ~' ~ PERM1171NSPECTION $1,000.00 ~~~~ I PER ERU I-tOOK-UP ~~~•~ ~~ l ~~ • l~ ~~. ,. Puget Power 468-7731 Yelm Tele. 468-2171 i 3z, ~~ ,I "~ ~ ~ =r1c ILtt ~S ~ 5C5 5~~ l 53~.C~ 7~ ~ ~r,~, c, r: ~~r ~z~~5/ X31. ~rC~ ~ ~ ~ 5~ ~~ I ~ ~: o ®I 17~ ~ $3U.OU r-ANAL INSnEGT10N BY CITY OF YELM Building Permit ° , ~ 5 ~ 13 BUILDING DEPT. Date `~" ~ ~° ~J 'hone: 458-8407 ~~ ~~~ ~ (Work must be started within 120 days) ,L_ ~ }~ :l ~' N Name ,!f~ a ;' _ n ` : Phone ( ) 0 /(~ C E R f / Address ~~ ~ .-, / City ' / St. Zip Code ''~ Site Address ~ j ~~.~~ ~~~~~ a Assessor's Parcel No. ~j ,~'~`,~,~~~ l ~f~C,/ Lot Size (sq.ft/acres) R Subdivision / ~' ~~~ ~~~'" !~ r Lot ~ ~ Block T Y ..~ OR Short Plat No. Block Existing Structures, if any: C N Name ~,~~~.( ~,~ '~ ``~ Contact 1. F ~`~([I~~)J /(~~~/, ~,(] /j ~~.,~,}+y Phone ( ) ! 'V 1/ m \./ f ~J~, r ~ ~, , Address / ~ 1 `' City ~ - ~ ! St. ip Code T a License No. ~ '' f ~/ Exp. ( ,-~ Yelm Bus. Lic. No. Description of Work ~ •+ '~'f' ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ..seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ r ~~ Sets of Prints Other Plumbing Permit #~_[ WA. ST. BC. Fee (4.50- New Const. Only) '~, ~ Mechanical Permit #i TOTAL FEE , ~(,~ Plan Check B ~~ Minimum distance of structure from property lines: Issued By 1, f~,.~ lr Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature f~ °.~" - .___.~. f - ~ f ~1 Date ~ ~' /~ ~~ Quarterly Reports y ~, Firm: ,, ~" ~ ._ :, .; 1 ;~. ;..~, ~. ,.~ Assessor~~ TRPC J ~ SITE ADDRESS: /,) ~(~"~J l~~ ~~~ ~~• ~-? <" ,~ ~~--' l ~,~~ Permit i~ If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ `,~/~ `~" PERM1171NSPECTION SEWER LATECOMER5 "SEWER/SEPTIC $1,000.00 ~ ~ PER ERU HOOK-UP SITE PLAN _ ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~~ ~~ ~~ WATER SERV. ORDER SIC-~C~~C~Lr' ~ ~~ POWER Pugef Power 458-7731 TELEPI~IONE Yeim Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW / l ~~ l ~ ~ ~ ( ~ ~ 7 `~ BUILDING PERMIT tr ;) fJ f ~ ~) ~~ ~ ~ ~ ~ { ~ ~ ~() ~?" S~1~IL~ ~5 ~ ~ 5C5 ~+-~ t C, F~eC- PLUMBING PERMIT ~ ~ ~~~ ~~~• ~~ R C- MECHANICAL PERMIT ~) ~ 2~~ "~ ~. G?L~ GRADING PERMIT - SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS 'DUE AND PAYABLE PR10R TO 1=lNAL INSPECTION BY =`"'1 i ~% Site Address ~ ~- 'e ~-.. a //~~ 7 ~~ __ //`` Assessor's Parcel No. / j~/ ~(,) lC/h~~ ~ ,`t,...? Lot Size (sq.ft/acres) o _~ a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: ,_ o ~ '~~ r~J }~~ ~ ~ ~/~f~ ~ ~ N ~-%~ Contact Name _. Phone , ?l l T ` ~ v .. ~ ! Ci ~ ( ' St t A ~ Zi Code Address • t . , _ ~ _ p a Yelm '~"'~, ~ ~ F.~ '(`-' `"j ~ ~~- Exp N Li Bus. Lic. No.I ')-~ ~ ~ ~ . cense o. , Description of Work OFFICIAL USE ONLY -= Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value s ~i .f Sets of Prints Other '~ - ~ ...~ `° ~~~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~~ J Mechanical Permit #__~~ TOTAL FEE _. i "'~` > ~,r •.. Plan Check B~ -• ~ ` b ~ Minimum distance of structure from property lines: Issued B. '~~~ ~~ Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature , ~ ~- r' Date ! - / ~_ Quarterly Reports 9 ~ 5 Firm: a ' * Assessor~~ U ~, TRPC / _~ r,j ~E1 ~-1 CITY OF YELM _.~ i~-~' Building Permit! ° 5 ~ Z $ BUILDING DEPT. ~ -;-`-'._.._ ~~'~ `` `~ Date ~~-`~~ "~%'tG~ 'hone: 458-8407 `J \ `-mil ~.-.~` (Work must be started within 120 days) ~-_--^ CITY OF YELM 6UILDING DEPT. ~~hone: 458-8407 ~.u7~~/7 Building! )Permit ~_° 5 ~ 2 Date '~` _ ~ ~ "' ~~ (Work must be started within 120 ays) r~ ~. ~ ) ~~ °w Name ~ / r y .~ Phone ( )'~f ~ a ~ ,: Address ~ - ~ ~ , City ~ St. Zip Code ~ Site Address ~ ~~ + ~ P R Assessor's Parcel No. J~ Lot Size (sq.ft/acres) O a r Subdivision ~' Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o e / Contact N Phonec3~) ~Q~- ~ f N am T Address ~ ~ ~f City St. Zip Code a License No. ` ~ Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor. (1st) (2nd) V Sign Residentia Sewer Septic Approval No. -- ~' y-Commercial Other .City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value f J ~~ Sets of Prints Other Plumbing Permit #~.~ 4.~ J o Mechanical Permit #s/ L WA. ST. BC. Fee (4.50-New Const. Only) - , TOTAL FEE ,~ ~ (1 Plan Check BX Minimum distance of structure from property lines: Issued By ~ ~ U Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. Signature f~* ~ Date c - ? ' _ ~ j, Quarterly Reports Firm: ~ t• Assessor~~ TRPC / / ;~ ..J SITE ADDRESSs Perrttil ~E Fee I( Receipt If Applicable Applicable ~ Comments SEWER PERMIT 5125.UU ~``~~~ PERMII~/INSPECTION SEWER LATECOMERS "SEWERJSEPTIC 51,000.00 ~ ~ PER ERU HOOK-UP SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~DC~ ~ C>C~ aQ ~/ 1 WATER SERV. ORDER G d V : ~~ 9 - PugeF Power 468-7731 POWER Yelm 7ele. 468-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT ~'~3, ~~ ~~~~ PLAN REVIEW 5~Z ~ c~S7~O• SQ '~/ ~ f ~; s' -lc t uc ~'S ~ ~ 5CS C~~,C~ E-~~C. BUILDING PERMIT ~I ©® . ~ ~~~ ~~~`~ ' " PLUMBING PERMIT IT 5~ ~7 ~~' ~~ ~ 7"~T" MECHANICAL PERM GRADING PERMIT SIDEW,ALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.OU 1~ ADDITIONAL COMMENT8 CITY OF YELM ~* ~~ / Buildin r t ~°_ ~ ~ BUILDING DEPT. ``~ ~ C~~~~ ~ _.~~~~ i t ~ ~ ~ .. ~ Date ~ ~! ~ ~i phone: 458-5407 (Work must b started within 12 days) e N ~~ Name i 1 ~ / '~' ~ ' ~ , Phone ( } R Address ~ "l, ~'~ City 1 ' St. Zip Code `~ ~ ~ ~ ~ ~/ ~~ `~ Site Address ~ , _,,~ /~' j ~ a Assessor's Parcel No. ~:: (7t' J~~~! ~~ Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: o N it / , Name ,~,,,~%~~- ~..11`"~, 'n ~' ,~.,(~ Contact ~ / Phone( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. r Description of Work ~ ~ ~ OFFICIAL USE ONLY Permit Type: R id i l Si n Sq. ft. per floor: (1st) (2nd) ent a g es Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other i ~ ~ ~ ~ ~ -.. r"7 Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # //~~ `"~ r TOTAL FEE ~, (j(./ Plan Check Minimum distance of structure from property lines: Issued By ~ ~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ_/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. -- Signature .~'"~ Date ~ ~ !~ ' ,`ws{p Quarterly Reports Firm: Assessor ~ ~ TRPC I / ~~ CITY OF YELM Building~.grmit ~~ 5 ~ 6 BUILDING DEPT. Date ~ ~ ~ ~ ~ ~~ shone: 458-8407 (Work must started within 1 0 days) w Name ~ Phone ( ) ~ ~ y' .~ N E R Address ~ City St. Zip Code ~ Site Address f 5 P R Assessor's Parcel o. ~~ ~ Lot Size (sq.ft/acres) ~ a Subdivision~j~'~~f ,~y /,j~j, ~~/f ~~_,/j~~ Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: N Nam -7 ~ ~ Contact Phone ( ) ~ ~ Z 5 , ! ` T Address ; `~~ City ~ St. Zip Code a License No. ~~'j ~ ~~ Exp. ~ Yelm Bus. Lic. No. 2 Description of Work J' ~ ~ : OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other .. -. City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~ , r , Sets of Prints Pl bi P it # ~ ~ Other um ng erm WA. ST. BC. Fee (4.50-New Const. Only) ~ , ,~,! ~ {~ ~ Mechanical Permit #sy~~ TOTAL FEE } ~~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~_._~-~.~ ~~,_ ~~~~,. ~"_"..."'"'...,,,,, Date X111 ~ ~~~~ Firm Plan Check B e ~ Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC _/ ~ 5ITE ADDRESS t ~`j~(',?C1 ~17i~/~ ~,1 1~,/,~ ~~~ ~-~O Permit // If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU d PERMII~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~J(~. ~~ WATER SERV. ORDER ~(~~, ©~ ~ % ~~ - POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 468-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~~ ~ ~~92 5~ ~(p ~~?' Jed ' l ~~ ~', 5d 8! ' ~~ 7 l ~ ~~ 3U.OU ~ 1 ~ G Yrlc ltc~ ~~ , ~xs ~~~~ C. F'~e~ ADDITIONAL COMMENT8 ~~ \ ~-...•.f CITY OF YELM ~,~ - `~ .~- !~ 6UILDING DEPT. ` ~'~'~ `""' phone: 458-8407 o ~..--- ~~ ~'~ t ~ ~~-.~..r~ .~~..~~~ .~ Phnnc a Address -~' ` ~ ~'T~ Cit St. ,Zip Code Site Address 4 ~:- ~~ ~/~_"~L~~d'~~'t. a Assessor's Parcel No. ,` Y-, ~~ 1~ (.ol~' ~~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if ny: ~ ~ Z <"-'` ~'? ~ ~ { , ..' e~r ~ ~~ "h ~ ~ ~, ~ ~ N Name r Contact d }-- . ~ one (. l..Y~-.J T n Address ~z-i° _ ~3 ~,:- ~..~,, ~ i )1 City !,,(,J/ St. Zip Code " a ) License No. ~ ! "~' ~ ,{ ..._~ r'- ''r f Exp1~'~~~` elm Bus. Lic. No.~ ~-~ ~ ,~J ~ ,~J Description of Work ~ ~f, ( ~~ OFFICIAL USE ONLY d Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS F, R FEE FEE Floor Plan Y N Building Value ~" ''Z `~.~ . ~ ~ Sets of Prints Other ~~_~ ~ -~{ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ... -~. _,; 0`~ Mechanical Permit # ~ TOTAL FEE ~ .~'~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ Date ,~,CJ 9 ~ Signature, _.. G-.~ ~. Firm: `/~ % ~ ,~' S /v ~-~''' ~~ -- -- Building Permit Noy , 5 5 ~ 5 Date "~ ° f ~ ~~~ /-'~ (Work must be started within 120 days) ~ ~/ J. / Plan Checl~$~,~~-~~ f~`' Issued By^--- ~. ! ~*'I t Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted_/ Quarterly Reports Assessor ~ J TRPC ~ J / "~,~`. CITY OF YELM BUILDING DEPT. `~hone:458-8407 d~ ~~3 Building Per N® ~ ~ 2 3 Date o'~. (Work must be started with n 120 days) t~cl~. i1~7~ w r Name j J Phone ( )'~ R Address r City tl St. Zip Code f ~ Site Address~(~~~.3 "aL r/(Gr~~7~ A_l,(.ft ~/~,~1~! _...~) ~~ ~l y R Assessor's Par el IVo. ~~ Lot Size (sq.ft/acres) o a ~ Subdivision 1, Lot Block r Y ~, OR Short Plat No. Block Existing Structures, if any: N Name d Contact 1' Phone ( ) °~ ,~ ~~; T Address 1,~ f City St. ~ Zip Code r a License No. Exp. ` Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: "1 , ~ Sq. ft. per floor: (1st) (2nd) Residential_1L Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ 2 ~ ,• ~ , Sets of Prints Plumbing Permit #~~~ Other '~ Mechanical Permit #yLs1 ~ st WA. ST. BC. Fee (4.50-New Const. Only) - L ~7 r~ ~ ~ ~'2 L~ TOTAL FEE ~ ?d~ 1 ~ r G ~( ~ ~ ~ t Plan Check By:...~ .., ~. ~ . , .. ~ , ~ Minimum distance of structure from property lines: Issued By ' Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. O ~., ,'~~ --~..... Date rf'~~ t'°',~ Signature ,,t-.--''°~ Quarterly Reports , . - ~... „_. _ Firm: ,-'' " ~ - _ ~' Assessors/ " TRPC ~ ~ r ~_ .~ ~~~, iW t SITE ADDRESS: ~\ --~ ~~~ ~~~ ~~ ~~ Perrtiil fr~ if Applicable Fee If Applicable Receipt ~ Comments SEWER PERMIT $125.UU ~~~ ~ PERMIl71NSPECTiON SEWER LATECOMERS "SEWERISEPTIC x Z $1,000.00 + ~~~~7 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~ 3~ ~ ~ ~`l.~j(~ WATER SERV. ORDER x Z ~Qd ~ ~ -~~ POWER Pugef• Power 458-7731 TELEPIiONE Yelrn Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~7 ~ ~ l • ~~ f ~~ BUILDING PERMIT PLUMBING PERMIT 5 ~~~ ~ z' Rv r~ ~ [f~, 5~ ~ 0 (' ~~ / _ ~~~ 1 (~~ s ~1c.1 Lt~ ~5 ~ 5~5 L+r+. C. F-e~+-z.cY~~~ MECHANICAL PERMIT 5 ~ ~J ~~ • ~~ I~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSWESS LIC. $30.OU ADDITIONAL COMMENTS '"DUE AND PAYABLE PRJOR TO l=1NAL /NSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 "r w Name r a Address ~ "~ ~ ~ City ~,J ~ St. .Zip Code ~, ~ Site Address a ,~ a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block Y OR Short Plat No. Block Existing Structures, if any: N Name ~ Contact Phone ( ) T Address City St. Zip Code T oa License No. Exp. Yelm Bus. Lic. No. tion of Work Descri ` 't OFFICIAL USE ONLY p Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~„~ i Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ TOTAL FEE Plan Check By .. t Minimum distance of structure from property lines: Issued By V Front to of Road Final Insp:_~-~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~-~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. F , E; Signature f~'' 1~ ~ - ,r, ,~3 ,~,,. Date ~ - ~ • ~f Quarterly Reports Firm: ~ Assessors-~ TRPC J ~ started within "120 days) ~-~ ~~~~ Phone( ) Building Date 1 (Work mpl CITY OF YELM Building Permit ~° 5 ~ 2 2 ;BUILDINGDEPT. Date ~ " ~ - ~~ ;Phone: 458-8407 (Work must be started within 120 days) w Name i '' ~~ ~ Phone ( ) .~- ~~(~ N R . Address City '`~,St. Zip Code ' Site Address ~ ~ R Assessor's Parcel No. Lot Size (sq.ft/acres) o a r , Subdivision Lot ~ Block r Y OR Short Plat No. ~ Block Existing Structures, if any: c N Name Contact / Phone ( ) '~ ~ ~! T ~ 7 ~„s r Address City St. ip Code 9 5 r °a License No. Exp. Yelm Bus. Lic. No. Description of Work J OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Pl P bi i ~ Other um ng erm t #_ i~ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # .~ ~ J t TOTAL FEE , . Plan Check By ' Minimum distance of structure from property lines: '""'~ Issued By Front to of Road `f" ~ Finallnsp:_/~ Side Side Rear Owner L&I Form ,~ Applicants Affidavit: ~ -- Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the _,,~ State of Washington. --~ i Signature ,.f a~-;~-s ( ~..~ / ~/ ~ ' ~ Date ~ ~ ,~~~ Quarterly Reports Firm: ~ Assessor-/ / "" ~,- TRPC ~ / _ ~O SITE ADDRESS: Pertttit ff !f Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU ~ PERM1171NSPECTION SEWER LATECOMERS *SEWER/SEPTIC $1,000.00 ~~~ PER ERU hI00K-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3D(), QD a ~ ~ WATER SERV. ORDER ~'®~, Q~} `~_ (~ g ~, ;'OWER PugeF Power 458-7731 TELEPHONE Yel-n Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~~ ~~ 'r 7 t1C I L(t ~"S ~ ~ ~L~ BUILDING PERMIT .~t~Z~ ,~~Ci•~ r QQ ~t1. C. F~e~ PLUMBING PERMIT ~2 ~~ ~~' ~~ ' MECHANICAL PERMIT ~~ S 7' t ~J . 5~ ~~o~ GRADING PERMIT SIDEWi4LKS/CURBS LANDSCAPING YELM BUSINESS LIC, $3U.OU }~ 'a ~"- ~ ADDITIONAL COMMENTS 'DUE AND PAYABLE PRIOR TO l=1NAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 ,~ !~ 1~ , 9 o w Name N E R Address ~f City ~ St. ~ Zip Code Site Address I f ~~ P R Assessor's Parcel No. ~Q~ ~ Lot Size (sq.ft/acres) O ~, ~ a Subdivision s~h ~C~i~ il j~ j ~ Lot ~ 9 Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~~ , Contact Phone ) - r t Address (~~ ~'~! ~ , ~ City ~ St Zip Code T a License No. Exp. Yelm Bus. Lic. No. ~ 1 Description of Work `' ~ -, ~'~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ , (1j , ~ Sets of Prints Other a Plumbing Permit # ' r WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # TOTAL FEE 9 ~ r(,~~ Minimum distance of structure from property lines Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those gov , m z Wing and subdivision, and in addition, all covenants, easements and restrictions of record f-a piyipg~ a con for fu her certify that I am a currently registered contractor in the State of Wa on. r ~' %~ ~ r r, ~ r- Signature ~' 'A ~'%'~~ '~ Dat Firm: f`,',,^' s~' . / 1C'~J" ' ~h".~: Building _ grmlt ~o / ~ ~ 2 Date ~_~7' `"~~~t.%- (Work must be started within 120 days) ~,~, ~ 1 C~1 ~. Phone ~) ~ - :~ Plan Check B ' ~? -l Issued By Final Insp:~~ Owner L&1 Form Assessor Floor Plan and Permit Submitted~l Quarterly Reports Assessor ~ I TRPC _~ / SITE ADDRESS: ~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU '/ ~~ C.P PERM1171NSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~ PER ERU I-1001C-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ _ /~ ~V~ WATER SERV. ORDER l y~~ ~/ ~% POWER Puget- Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT _ PLAN REVIEW ~ ~ ~. ~ Z 6ti / c~ BUILDING PERMIT p 5 t~ ~ ~ ,(~ 7 ~ ~ ~ Q d ~~~ ~ =i1GIL(~ ~~ ~ ~ 5L5 ~~'~ ~ ~' ' ~~ PLUMBING PERMIT 5z0 ~ 0 ~ ~ D~ ~~ MECHANICAL PERMIT ~~~~ '~j, ~Q J GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.UU ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. phone: 458-8407 Building PJ~rmit ~° 5 Date ~`~+,":~-~~ (Work must be started within 120 days) N Name ~ ~ ~ Phone ( ) '~ -- a Address c, f City ~ ~ , St. Zip Code ~ i I `~ • ~" ~ 1 ~ ~ ` ~ Site Address % - 1 , U J a Assessor's Parc I No. ` ~ ~ !~/ Lot Size (sq.ft/acres) o P e R , Subdivision 4' ~s~' f c •,.LC j , J~~,~,( Lot ~ ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N , Name ' ~ ' ° '/ ,% %Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work rr '~ f ( ~ ~ I ~,',.~'` ~ J OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ r , 7 (~ ~ Sets of Prints Other Plumbing Permit # ~~ -~ 1 p ' '`~~ 5 WA. ST. BC. Fee (4.50-New Const. Only) Y Mechanical Permrt TOTAL FEE {~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the,~posed structure is in conformity with all applicable City of Yelm reg- ulations including those gov mng m g and land subdivision, and in addition, all covenants, easements and restrictions of record. If lying s ~ntractor, I e certi~ that I am a currently registered contractor in the State of Washinntert' ~.~' / .~ f ,S/; Plan Check By.... `- ~ f~~ Issued By `~, ~ ~~'"~ "~,~ Final Insp:~_~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Signature •\, / •'~ l' Date Quarterly Reports Firm: Assessor ~ ~ TRPC _/ ~ SITE ADDRESS: 9 Perrtrlt # If Applicable f=ee If Applicable Receipt # Comments SEWER PERMIT $125.UU '~,..,// ~/ PERMII'/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~? PER ERU i-100{<-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS C~ "WATER METER ~`~j ~ , ~~ `~ WATER SERV. ORDER Z~~~ D~ ~~~ POWER Pugel- Power 458-7731 TELEPHONE Yelrn Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~ ~ ~~ / / / l~l! BUILDING PERMIT r~ o S d I o ~ / 5 75~ ~d I S ~1 c I Lit t= 5 ~ , 5L5 (-~r.C=, F~eC PLUMBING PERMIT ~~ ~~ ~' ~ ~~ MECHANICAL PERMIT ~~ Sz ~ 1 • DD ~~ ;l GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.UU ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO (-'1NAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. phone: 458-8407 ~, w N ~ ~~ ame N a St ~ City / Address ` ~"" i' _ Zip Code ~ ; ~ . , c i Site Address R Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Str ctures, if any: N Name ~ "' Contact Phone ( ) - jJ ~ T Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. r Description of Work '~ ~ OFFICIAL USE ONLY Permit Type: l Si n R id i Sq. ft. per floor: (1st) (2nd) g ent a es Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~, , ~ ~ Plan Check B ~ Minimum distance of structure from property lines: Issued By '~ i Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Assessor _~ l TRPC J / Building Permit N® 5 ~ ~ 0 Date ~ (Work must be started within 120 days) ~~ ,~` ~~,n . > ~s J' Phone ( ) r - ~ CJ i v t __.___ ___ ~ T ;~ >_: ._.:~.~ --~ ~~ CITY OF YELM BUILDING DEPT. hone: 458-8407 w Name ~ ~!-'~,. s? ~ i,.~" ,. Phone ( ) .,,, a Address ~C~ ~ ~ "~ , , `~ ~ City St. ip Code ~~~ ~ Site Address~(~~ ~ , ~~~ ~ a nn ~~ // 7 "'r ~ 1~ ~}~ / ~r% Lot Size (sq.ft/acres) Assessor's Parcel No If 0 R . Lot Subdivision Block Y OR Short Plat No. Block Existing Structures, if any: c N Name •~ ~ Contact Phone ( ) T Address City St. Zip Code r a License No. Exp. Yelm Bus. Lic. No. ~ ~ ' tion of Work ~` Descri OFFICIAL USE ONLY p Permit Type: Si n Sq. ft. per floor: (1st) (2nd) g Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ~. (eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~) 5~ ~ t°~ ~ r° ~ 1 1~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ ~ , TOTAL FEE ~ ~ Plan Check Bye ~ ~... Minimum distance of structure from property lines: Issued By + ~ Front to of Road „ Final Insp:_~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State pf Washington. ; "-`~ ~, ,' Date - ~' _ ~ Signature``. f . ,~ r <. k ' F f ~ ; Quarterly Reports ~ . . .. ../ Firm:, ~ ;'`y'" ,f ~ ;:~' ^'~! Assessors-~ TRPC J ~ Building ermit~°_ ~-~ ~ ~ Date ~~ ~ `" (Work must be started within 1 0 days) ' ~`~ .~ ~ , ' ~ ~ CITY OF YELM BUILDING DEPT. >hone: 458-8407 w Name . ~ ~~ /A_ t ~~l ~ r?`.tP~-, L sc' .,, ~ r:'. ,. ~ Building ~/rml ~Q 5 7 61 Date '~'~~ 4/(.~ Z~ ~~ l~ C~,° (Work must be started within 120 days) C had . ~ ~~" .. Phone ( ) ~'~,Z -° (`'~ ~ 7 R Address ~ ~ ~ ~ ~~~ City St. Zip Code '~ ~ Site Address a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name / ontact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ' f, J OFFICIAL USE ONLY Permit Type: l Si n i R id Sq. ft. per floor: (1st) (2nd) g a es ent Sewer Septic Approval No. Commercial Other *?~ _ City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N °' .Building,Value Sets of Prints Other ~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ^ ~j ~~ t (,/GJ Minimum distance of structure from property lines: ,~ Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed st in conformity with all applicable City of Yelm reg- ulations including those governing zoning and d subdivi on, and in addition, all covenants, easements and restrictions of record. If applyin s a contra or, I further ertify that I am a currently registered contractor in the State of Washington. ,..,, ,, _____,~... _. ~ nature Plan Check By -. Issued By Final Insp:~J Owner L&I Form Assessor Floor Plan and Permit Submitted1_~ ~--1 s ~ ~ Quarterly Reports Firm:~J ', I ~4 U /`"+~7 ~ !f/"d l Sri ~ G,t ~/ c_ 1 Assessor_~~ TRPC ~ ~ CITY OF YELM BUILDING DEPT. ~~hone: 458-8407 a w ~~ Name N E R t Address ~Y Site Address ~lJ P R Assessor's Parcel No. O P a Subdivision T Y OR Short Plat No. Existing Structures, if an e City l Lot Size Lot Block Block N Name `~• '(~ ,j`Y~/ J L~ ~J,,~ [~.,(~~~¢ontact Phone( ) T Address City St. Zip Code r R License No. Exp. Yelm Bus. Lic. No. Description of Work 1 ~ ~ `~~ 'j ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ', ,heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ C.J ~(~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ ~3' TOTAL FEE ~ ~ Plan Check B ,'r Minimum distance of structure from property lines: Issued By ~ r Front to of Road Finallnsp:_~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~- , ~ - ; ti ~; ` Date 3 - ~' ~ _ ~ ~ Quarterly Reports Firm: Assessor~~ TRPC ~ -~ k Phone( ) I~~ - r~~~ Building Perm' o ; - ~ $ ~ '~ Date `' ~ (- (Woyyrk must be started within 120 days) 9 N~ _~ ~.-. CITY OF YELM BUILDING DEPT. Phone7458-8407 r^! ~ ! ~~ :, °w Name ,t '' N E R Address Site Address P Assessor's Parcel No. R o rV `~ ,, R Subdivision T ~ Y OR Short Plat No. Existing Structures, if any: c N Name ~ / } T R ~ Address --~ oa License No. f'S ~/~~~ ~ ~~ 9~n , r Building erm' N° ~' ~ _~ Date ~ `:. ~' -/' (Work must be started within 120 days) ~rt ~~~~ j/ Phone (~~j) ~,13~-- ~'S~,~ j ~J/Yl/YSt. /./~~Zio Code ~l ~(`~~i.~S ~7 ~`~ ~1 ~~,,~~ Lot Size (sq.ft/acres) Lot 'P~ Block Block Contact Phone ( ) City St. Zip Code ,~3 Exo. Yelm Bus. Lic. No. ~ ~ }~~°7 ~ ~ Description of Work ~ ' ~~'I / '' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ..City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y ~N Building Value ffj'~ ~, /, ~ Sets of Prints Other Plumbing Permit #-~~ S~~ WA. ST. BC. Fee (4.50-New Const. Only) '~a Mechanical Permit #~ TOTAL FEE ~(,7~ , ~ Plan Check B ,4 1 Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~J Side Side Rear Owner L&1 Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~l ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of recor pplying as a contractor, I further certify that I am a currently registered contractor in the State of Washingt --"""' Signature _ -'' ~ -----~---~""""""" Date Quarterly Reports Firm: AssessorJ/ 'r` TRPC / / 5ITE ADDRESS: ~Q/~/ ~)/~e~l,-~~ 1 /"~. fit-, ~~ ! Permit ff if Applicable Fee If Applica0le Receipt # Comments SEWER PERMIT $125.UU j~~i-; PERMIT-/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC $1,000.00 '~ "~ "'~~~ PER ERU 1-1001<-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,~~~ aQa ~~ ~ ; ~ ~-~ WATER SERV. ORDER ~ L.- POWER Pugeh Power 458-7731 TELEPHONE Yelrn Tele. 458-2171 _ STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ Z c~ ~ ~ ~ ,1~ ~~ BUILDING PERMIT j~ ~' ~5 J ~ ~ ~ Q~ ~.__. I ~~~~ 'S ~1c I Lc~ i`5 ~ 5Cl L~~, C. f ~e~ PLUMBING PERMIT `J z~~ ~~ ° OD ! ~/~ MECHANICAL PERMIT ~ j g ~ ~ ~ % 5D --.-- J `~~~1 ` GRADING PERMIT SIDEW~ALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.OU ADDITIONAL COMMENTS 'DUE AND PAYABLE PR10R TO I=1NAL INSPECTION BY ~. E ~ ~~_ ~ CITY OF YELM ~~ ~~~`~ ~ ~_. Buildingf~er t ~~ 5 7 ~ ~ BUILDING DEPT. Date J`~'~ --~~ phone: 458-8407 ~ (work must be started within i20 days) ~ - ~r~ ~ 5 ~ f~ N Name _ ~ ~ : ~} ~ ~~~ Phone ( J ~ a I ~i t /~ .A /rs7..s ,-~ .e ff ~ `f1 ,~ ,9 e ~ 1 ~ n _ ~ ~ l', ,d7 . i v v ' e vnK ai. ciN wue -/ Site Address ~ - , ~ ~~ . R Assessor's Parcel No. ~ j ~~~„~U ~/ ~ ~ ~ Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any : c ~/ ~ N Name 7 r~(~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code r °a License No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY !~. b ~-K.i2 tic-an.,, ~- ''~tJ~i ~" r,J Permit Type: n Sq. ft. per floor: (1st) (2nd) Residential Sig Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ,~~°° f i (~ ~ ~~ /~ ! Plumbing Permit # WA. ST. BC. Fee (4 50-New Const Only) Mechanical Permit # TOTAL FEE (~ i ~ ~ Plan Check By ~ / ' Minimum distance of structure from property lines: IssuedBy r Front to of Road Final Insp:~_/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be' true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/_~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. signature ~.,,r: , ~-----*~~,_~;~.~;:,,,CJ Date~r> ~? c Quarterly Reports Firm: Assessor / / TRPC / / CITY OF YELM BUILDING DEPT. phone: 458-8407 w Nam T ~ , N E R Address City ~ St. Zip Code 1" Site Address P R 1 ~1 Assessor's Parcel No. ~ ( ~ Z ~ ~ //~ ~(J~ Lot Size (sq.ff/acres) O P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. ~ . Description of Work OFFICIAL USE ONLY Permit Type: Si R n Sq. ft. per floor: (1st) (2nd) g esidential r Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N :feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~~ ~ ~~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~~ TOTAL FEE //~~ ~p ~C1 ,Q(/ Plan Check B I ~r~ / ~y~ C ~ ' Minimum distance of structure from property lines: ,~ Issued By Front to of Road Finallnsp:~J V Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted__/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. -° ~ .,, K.. fq....~ i 4 4 ' ~~ Signature ~ ~¢„~ `~' ; _,t.?-? Date => f,; .r ~<- Quarterly Reports l Firm: / Assessor /~ - TRPC / ~ c"'" i"~ ~:."~ S `°' ~ t---~~ ~ ~ Building Permit ~°_~~' /~ 5 ~ ~{ 7 Date _~-~ ~ " ~l ~L=' (Work must be started within 120 days) ~! ) !~ e ~ ,7 .~ , Phone ( ) J ~~ CITY OF YELM BUILDING DEPT. phone: 458-8407 ~ar~.~~ Building, ermi No 5 $ ~ 2 Date ''~'t`~} (Work must be startedrted within'120 days) N Name ~ e Phone( ) --a ' R Address ~ .^ "?~ C St. Zip Code Site Address J 7 P //~ r~p C ' ' ~~ ~ ~ ~ ® ~~ R Assessor s Parcel No. O / ( Lot Size (sq.ft/acres) O P e R ~ Subdivision Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c ~ N Name Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. r Description of Work ~ ~ ~ ,r 'f ,~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N 4 .4eat: Electric Gas Other Sepa Exempt. Y N ITEM BASIS FOR FEE FEE Floor Ptan Y N Building Value ~l ~,~ ~.. ~ `~ ,~ '~ ~ (~ Sets of Prints Other r -, ._ Plumbing Permit # ~ ~ - e WA. ST. BC. Fee (4 50- New Const Only) '~ , ~ ry c Mechanical Permit # LCsJ / O . . ~ - TOTAL FEE - ~ , Plan Check By Minimum distance of structure from property lines: i ~ Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the informati on contained within the application and know the same to be true and correct. I also certify tha'the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~_/ ulations including those govelgiRg zoning d land subd' ' ' n, and in addition, all covenants, easements and restrictions of re app~y(ng as ~~o ractor, I f er c ify that I am a currently registered contractor in the State of Washi ton. i Signature '~ Dat Quarterly Reports Firm: Assessor /J - TRPC ~ / 7~ SITE ADARES5: Permit 1R If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU ! ~7'~~ PERMiI~/INSPECTION SEWER LATECOMERS "SEWER/SEP71C $1,000.00 ~'~~ PER ERU 1-100{<-UP SITE PLAN _ ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~3 ~~ ~ - WATER SERV. ORDER ~(~~, Q~ ~~~ . POWER Pugel- Power 458-7731 TELEPIiONE Yelrn Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT ' PLAN REVIEW j ~ ~ • 7~ ,~ j ~'~ / '=t1~ I Lt~ ~5 ACS BUILDING PERMIT 5 ~~~ ~ ~~. ~~ L~.Q' f ' r J 1 L~r,C, E~~e~ PLUMBING PERMIT ~~ ~ / ~ ~ `~o ~ ~` / MECHANICAL PERMIT ~~ jl~ ~ ~ ~ ~'~ ~ `f J GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.0U ~ ~~~)• ADDITIONAL COMMENTS - DUE AND PAYABLE PRIOR TO 1=1NAL INSPECTION BY rrrr- vrr e~ nrrrr n-~rr+ nrnr CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~T~~' Building Permit ~~ 5 ~' Date -~~.._ ~ ~ ._ ~}"{-" -- (Work must be started within 120 days) N Name ~,,,. ,~ , Phone( ) ~~- Cl~ R Address ~, ~ j Ci ,~ ~~ St. Zip Code ~ 7t1 Site Address ~~ ~ ~, P R O Assessor's Parcel No. ~ ~ , ~ ~ Lot Size (sq.ft/acres) P , e A Subdivision ~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ,. Name Contact Phone ( ) R ~ Address City St. Zip Code r °a License No. Exp. Yelm Bus. Lic. No. ~y .~ _ Description of Work ~'~ !~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential / Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,~~ f , ~ ~ ~ ~ ~, ~(} Sets of Prints Other q ~ ~ Plumbing Permit #_s1s~` O c.~ WA. ST. BC. Fee (4.50-New Const. Only) ~, 5~ Mechanical Permit #~ TOTAL FEE ~ ~ ~t ~~ Plan Check By~..~ Minimum distance of structure from property lines: ~ f . Issued By Front to of Road Finallnsp:I / Side Side Rear Owner L&I Form Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those govern zonin land subdiv~ ~ n, and in addition, all covenants, easements and restrictions of record. If a~r~ as a ntr tor, I fu r ce fy that I am a currently registered contractor in the State of Washingto -r ,' ~; f' Assessor Floor Plan and Permit Submitted___/J Signature ~ ~~~ r.~-~,.-~ _~ Date '~ - Quarterly Reports Firm: Assessor J J ~` TRPC _~ ~ SITE ADDRESS: ~~~~© .~~.r-'C - ~~ `. ~~,~ ~~ Perrr~fl ~~ If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU ~~~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU I-IOOIC-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~0, (,1Q WATER SERV. ORDER '1 Q~, (~~ POWER Puget Power 458-7731 TELEPHONE Yelrn Tele. 45B-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ? r~~y (l . ~~ ~~ ~~ BUILDING PERMIT ~~ ~ ~ ,~ J~} ~y ~ 7 / • ~V Q' ~ ~ ~`~ C~ S ~1~ I Lt~ ir5 ~ BLS ~~r ~ L ~ F~~~ PLUMBING PERMIT 5 Z g ~ ~ ~ + ~4 ~ `~ ~~C~ MECHANICAL PERMIT 5 ~~'~ "7 j, aQ ~ `-~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.OU ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY .-.. CITY OF YELM BUILDING DEPT. phone: 458-8407 f'Q7~~`7 Buildinermi ~°_~y~J ~ 1 Date f "~ Y (Work must be started within 120 days) N Name ~ Phone ( ) ~ 1~ -^ ~~r a Address ~ ~ Cit St. Zip Code ~p ~r~~ '~ ~ /~ , Site Address ~ ,ra ~ t P R Assessor's Pa o. ~„ U® Lot Size (sq.ft/acres) P R ~ a Subdivision r , ~ Lot Block r Y OR Short Plat No. Block ; Existing Structures, if any: c N Name Contact Phone ( ) r Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. ~ ~ ~~ ~ 9 k ,,~ Description of Work ~' t, ' ~ j OFFICIAL USE ONLY _ Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~ 1, Q ~ ~/~ ~~ Sets of Prints ~ ~ Pl bi P i # ~ ~ G Other ng erm um t WA. ST. BC. Fee (4.50-New Const. Only) ~ 5{~ J Mechanical Permit # ~~ ` ~ `~' ~ ~ /~~~ TOTAL FEE j , Plan Check By ~ r Minimum distance of structure from property lines: Issued By ~ ~ ~ Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those gover ing zom nd land subdivision, and in addition, all covenants, easements and restrictions of record. If ap ng as con actor, I fu ertify that I am a currently registered contractor in the State of Washington. ~ Signature / ~~'" Date ~./~ _ Quarterly Reports Firm: Assessor ~ ~ TRPC / ~ I ,r i ~_ SITE ADDRESS: ~~ ~~~, ~~~ ~ ~, ~ ~; ,~~ T-~ Permit ~1 Ir Applicable Fee Ir Applicable Receipt # Comments SEWER PERMIT $125.UU ~ `~,~ PERMIl71NSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~ PER ERU HOOK-UP SITE PLAN ACCESS t3< DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 2 J~~l ~ ~~ -~ ~~ C~~` ~~ L C WATER SERV. ORDER '7~~ ~ ~~ POWER PugeF Power 458-7731 TELEPIiONE Yel-n Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~~ Z~ ~~~ BUtLDiNG PERMIT ~3 ~ Q ~ Q ,~ l ~ 7 ~~ ~L, 1 %~/'7 T ~1 C I L(~ ~"5 ~ 5Cj L~~, C~ F~~C PLUMBING PERMIT ~~g~ ~ ~• ~~ ~~~~ MECHANICAL PERMIT ~~7c0 7 j. ~L~ 1~,%~ ~~ GRADING PERMIT SIDEWALKS/CURBS l~4NDSCAPING YELM BUSINESS LIC. $3U.OU ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. phone: 458-8407 / ~~~ 5~ w Name ~ ~~ Buildin Permit ~{~ 5 ~ ~ 9 Date ~~~.~1 /% . ~~~'1 (Work must be started within 120 days) ~~~-~[ ~ ~ ~ ~ J ~1/ l ,,~ Phone~~Q)35~~ ~l~S ^ Aaaress ~ ~.Iry .71. LI~1 liUUC Site Address Q rt, P R Assessor's Parcel No. 7 5 ~ Lot Size (sq.ft/acres) O ~ a Subdivisio Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ontact Phone ( ) T Address City St. Zip Code T R License No. ~ ~ Exp. Yelm Bus. Lic. No. Description of Work } ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other ~('~77// Plumbing Permit #_s~S~L WA ST BC Fee (4.50-New Const. Only) a Mechanical Permit # TOTAL FEE , Plan Check By< Minimum distance of structure from property lines: Issued By C Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Assessor ~ ~ ___ TRPC ~ ~ SITE ADDRESS s ~/~ ;°'~ d--fll / ~ G v/,`~ `f~r ~ /~~~ ~`~-~ i/ Perrnil ff If Appllcabie (-ee If Appl{ca~le Receipt # Comments SEWER PERMIT $125.UU ,,/~ O `T PERM1171NSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ ~ ~ PER ERU l-100{C-UP SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~~ ~`' . `~~ f ~ ,tea ~_.. ,. . ~ ~ L ~j WATER SERV. ORDER f~/' f' : ~~fi __ POWER Puget Power 458-7731 TELEPHONE Yelrn Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ % i' BUILDING PERMIT s)~.)r~ ~f ~~~`~!'~~ ~ =>C~ / 'I r1c I L(~ ~~ ~ ~ 5[5 Cc.r, ~=~ F-e C_ PLUMBING PERMIT . ~~~* ~.! r} (, (~(~' MECHANICAL PERM17 :~ ~" % `~ ~ '~~ j, ~~' ~ ~~ GRADING PERMIT . SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC, $30.OU ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 w IN N ~^ °~ i Building Permit N° 5 S ~ 7 Date ~ ~ 1 1 L-Lf (Work must be started within 120 days) Phone ( )~~~,.- J,~ / ll i a Addressv ' City St. Zip Code Site Address ,~,~ 1 ~ (,~ ~~ ~,(~"1 ,~ ~'~ t a Assessor's Parcel No. ~~ '~j~c`~ (~ ~ Cf2~~1 ~ ~ ,{1 Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code r a License No. Exp. Yelm Bus. Lic. No. Description of Wor ~ OFFICIAL USE ONLY -~"~ r ~ ~tr^~'- Permit Type: Sq. ft. per floor: (1st) (2nd) Sign Residential / Sewer Septic Approval No. Commercial / Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other Plumbing Permit # ~ WA. ST. BC. Fee (4.50-New Const. Only) ~~ Mechanical Permit # TOTAL FEE 7 Plan Check B r'~ r 1 Minimum distance of structure from property lines: Issued By ~ ' r . ~ ,/ Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. Signature ~ ~ Date - / )- ~f Quarterly Reports f f, Firm: Assessors/ TRPC ~ ~ SITE ADDRESS : `~/ l ~~ ~ J!/~•C ~ ~~ Permit ~~ Ir Applicable r-ee Ir Applicable Receipt # Comments SEWER PERMIT SEWER LATECOMERS $125.00 PERMIT/INSPECTION "SEWER/SEPTIC SITE PLAN /4~ $1,000.00 PER ERU HOOK-UP ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 1y /~ WATER SERV. ORDER /~,~ / ~ POWER PugeF Power 458-7731 TELEPfiONE Yelrn Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~ ? J ' / ~^/ ~~ BUILDING PERMIT 5 80~ ~'7r5'~ C.~ JET ~~~i C F•~~ , ~Cj PLUMBING PERMIT MECHANICAL PERMIT ~ f ' v GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LTC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. ?hone: 458-8407 Building Permit ~~r^s ~ ~ ~ ~J 6 Date ~" 1 ~ ~ ~'` (Work must be sta.-rt-/ed within 120 days) w Name t "~ -_ Ph ne( ) N a Address L ~, ~ City ~ St. ~ Zip Code Site Address ~ t P R Assessor's Parcel No. ~ ~~~~®~~(,~ D Lot Size (sq.ft/acres) O R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: o N Name {~, Contact ~ ~ Phone ( ) r {y Q ~ ~- Address , City St. Zip Code O / T R License No. Exp. Yelm Bus. Lic. No. ~~ ~i Description of Work ,~ ~ t OFFICIAL USE ONLY ~ Permit Type: ~ , / ~ Sq. ft. per floor: (1st) (2nd) Residential Sign t Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~„~ ~ -' Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. .~ Firm Plan Check B ° ~ ,~ (i Issued By `~ r " ,~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJl Quarterly Reports Assessor~~ TRPC ~ ~ i.. , { CITY OF YELM ~~UILDING DEPT. ,Shone: 458-8407 .~ ~ 7- -~- /C~ _ w Name `~ N Site Address G j P Assessor's Parcel No. ~~ R P i R Subdivisio ;~' r Y OR Short Plat No. Existing Structures, if any: c Name , Contact N T / ; _ _ Address ~~~~ (~~ ~~~~~~ /~«, ~~. ~" a License No. .r1 Tom/ i 1 ~ `~'~ Buildin Per o 5 Date ~' ~CG`' (Work must be started within 120 days) ti~~~~ ~ _ Phone ( )'~~ -r ,~ ~~ City ' St. Zip Code i Lot Size (sq.ft/acres) Lot 1 ,~ Block Block Phone ( ~`'~ ~- t~~~ j~~ i City ' f St. ~ ip Code Exp. ~ f Yelm Bus. Lic. No. ~ ~ t ~~ Description of Work .t / ~ ;~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ~-~ City Water Private Well Private System Shoreline Permit Y N ~...~'Fieat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ r ~, ~ Sets of Prints Other ,~ ~ ,~~~ Plumbing Permit #~ v U WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit # ~71 %-L ~,3` G TOTAL FEE ~j} ~ a ~ Plan Check By ~~,^~/ , Minimum distance of structure from property lines: Issued By u Front to of Road Final Insp:l~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. r~- / Signature '~ ~ t-- '~ -----•-- Date = ~3 f„~ Quarterly Reports '' t ~- 1 Firm: ', :"c.,.t.~,~;_.._~~..s ~~; ~-~-~..~_ Assessor~~ TRPC ~ ~ SITE ADDRESS: Permit # If Applicable Fee it Applicable Receipt # Comments SEWER PERMIT $125.UU //~~~'~ PERMII/INSPECTION SEWER IJ~TECOMERS "SEWER/SEPTIC $1,000.00 Y~~~ j PER ERU I-t00K-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~Q~ , ~ J ~~ WATER SERV. ORDER '~~Q . Q~ ~I ~~7 POWER PugeF Power 458-7731 TELEPI-IONE Yelrn Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ 5~. ~`T / BUILDING PERMIT q S ~(~ 0 l C7 /~ (O~0 f ~(J ~' o~ '~~.J~-~ S~1C IU.~ ~"5 ~ ~ 5LS ~~~. C~ F~~C PLUMBING PERMIT ~~ o Q r~ ~' ~~ r+~` ~~ MECHANICAL PERMIT ~ 377 ~~~ ~~/ '~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.UU - ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOCZ TO l-INAL INSPECTION BY CITY OF YELM BUILDING DEPT.. Phone: 458-8407 SOT ~3 w Name (,[~l,! ~ (~~+~ . ~Li l r ~/ , N Buildine~ it J ~J $ ~ Date (~,~ (Work must be started within 120 days) ~r~t. ~- I~3~ ~~ Phone 1 ./~ / n // .-~ ~ t i Haaress ~. - - T- ~,, city 5t. up cotle J Site Address f ~~ ' ' ~~~~ u~ ~ ` j ~ R Assessor s Parcel No. v 7 Lot Size (sq.ft/acres) 0 a Subdivision Lot 3 Block T Y OR Short Plat No. Block Existing Structures, if any: o N c Name L:litl~ ~~l ~~ i.. ,(~~ 2"F ~ Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. ~ Exp. Yelm Bus. Lic. No. Description of Work i ` ~ I OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ r ~ Sets of Prints Other e~ -~ Plumbing Permit #~J [~~ 1 ~D ~ / ` ~ WA. ST. BC. Fee (4.50- New Const. Only) ~ Mechanical Permit # ~ r ~ ~ `~~ TOTAL FEE (~ Plan Check By Minimum distance of structure from property lines: Issued By - e Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~_/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. i Signature 1 . r~-~' ~ ,;a! ,= ~,. ,; Date ~ /, ~ ;~'~ Quarterly Reports y Firm: ! ~ ;,~. 1` Z-~/ ; ,i r cr. Assessor-/J TRPC / I NJ:W UtVtLUNMtN! /NtW (:UNJlttucttutY l:FitVtlLlJl SITE ADDRESS: Permit # If Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT $125.00 ~ ''~ ~,~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~U ~O " / PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~,~ WATER SERV. ORDER ~a~~~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW /~""~ f Z ~ ~ cl! ~~ '~~~a_~ BUILDING PERMIT S p~® 7 ~ / ~ U D ,,~ 1 :yi ~ Yi1c.ILtd~S Y.SU ~v: C~ F~z~ PLUMBING PERMIT ~~~Z~ 8~' vQ ~~~~`~-~ ~ MECHANICAL PERMIT ~ ~~ I '~r. ~~ ~~~,~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. ?hone: 458-8407 1 r~7 ~~ Buildin~~Permit 1 5 ~ ~ 9 Date s"'S'~ -~f~Cy (Work must be started within 120 days) ( 'T J w Name ~.- ; r ~ Phone ( ) ~ N a Address ~ ~ `# ~ City St. Zip Code Site Address ~ ~ ' // / , a ++ G'~ Assessor's Parcel No. ~~~ i ~ ~ a ,~ ~ / Lot Si ze (sq.ft/acres) 0 a Subdivision Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ,/ Contact Phone ( ) T Address City St. Zip Code T a License No. ~ ~ Exp. Yelm Bus. Lic. No. ~ d Description of Work -9 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential~/_ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ''~'~ , ~~ Sets of Prints Other Plumbing Permit #_ WA. ST. BC. Fee (4.50-New Const. Only) ~ ,~(~ =~t~,~'~1..~ ~ ~ ~ T OTAL FEE ~ ( ' Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washit~4ton. Signature Firm: ~, 7 Mechanical Permit # ~` R Plan Check By ~ ~ ` ~ ~J ~ / ~~ Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports AssessorJ/ TRPC J / NEW UEVELUI'MEN ! / Nt W (:U1VJ r rtv~, r rvn t,nt~rura r SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~/~ ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~~~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 30d j Q~ ~~ ~~ ` WATER SERV. ORDER 7~~ POWER Puget- Power 458-7731 TELEPHONE Yelm Tefe. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW r'd 7~ OQ ;4~ ~/ BUILDING PERMIT ~? ~~ /~~} 7` ~7 ~~ ~~ ~J~~ =i1c-~udc5 ~ 5U (-~-'~C~ F~~~ PLUMBING PERMIT 5z ~1 ~ ~ ~` ~~ ~~~,nti' MECHANICAL PERMIT 5~~~ ~~ . ~~ ~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin Permit ~"~~" /, ~ ~ ~ Date ~'. r_~ _- ' ,~J~~; (Work must be started within 120 days) _~ ~~, fir` ~~~ ~ i1/ "~~, w , Name ~ i~t'~ f 6' i f ~, i~~°7 ,~} ~ Phone ( ) ~~,~~~ _ ~:.~ ; a ' Address ~~ 1 ~'{ ..~ City R ~ ~ ~ ~ St. ~ ip Code ~ 1 ~ Site Address ~ "} (p ~ ~~ ~~ )~]; ~ ~,~, ~ i ..( ~ [~,. a Assessor's Parcel No. ~j ~~' ~~ji ~~C.~ ~~~ ~ ~ Lot Size (sq.ft/acres) R Subdivision-~(~+!(/J~`1~~,~,j~'L,,~;~..~,+Y ~ ~,,/~t_„P' ::''~,~ Lot ~f Block T Y OR Short Plat No. ~ Block Existing Structures, if any: N Name `+~ ~-7 ~•'~'~( ' ~ ~J~ t ; ,(}~,,~,,~ Contact -, Phone ( ) ,)!~''-~ 0 n ~f} S ~ j ' ~ + ~ ^ t ""` C Zi C d ~~ ~ v~ c t. ~ ~, {~ ~~ City ~ } ~ ~ ~ ~ ~ ~~ ; ;r Address p o e j ~ R -- License No. ~'~ ~ ~ Exp. Yelm Bus. Lic. No. _ f ~~ ~ ! ' I Description of Work f' l"~' ~'%~n` ~~' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ` Y' i l O h C Sewer Septic Approval No. er t ommerc a City Water Private Well Private System Shoreline Permit Y N ,teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~~ ~+ ~ Sets of Prints Permit #~ Plumbin Other g f hanical Permit Me WA. ST. BC. Fee (4.50-New Const. Only) , c TOTAL FEE Plan Check By - ~' . A Minimum distance of structure from property lines: Issued By ' ~f~ + ~ ~.+--~-~=~ 1 Front to of Road Final Insp:l~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 9,g Signatur c..Ci -_~L-+^~ Date .3 ~ Quarterly Reports Firm: r Assessors I TRPC ~ ~ %~.~ ~~ @.~~ ../ ~'~ SITE ADDRESS: ~C.~ !! Perr„It # Ir Applicable Fee Ir Applicable Receipt # Comments SEWER PERMIT ~ $125.UU PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.UO PER ERU 1-1001(-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER n / ~- / ~ WATER SERV. ORDER ~ POWER Puget Power 458-7731 TELEPHONE Yell„ Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 2 ~ pJ ~ ~~ ~I~~ BUILDING PERMIT t ~)OC~~ ~ D~ ~~ `7~'~ `L~~.CuFe~ ' SCj PLUMBING PERMIT /'iI MECHANICAL PERMIT ,/v ~-/a- GRADING PERMIT SIDEW,I4LKSlCURBS LANDSCAPING YELM BUSINESS LIC. $3U.0U ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building , ermit ~°_ 5 8 ~ 3 BUILDING DEPT. Date ~~` ~-~-' ~L!~~ phone: 458-8407 (Work must be started within 120 days) w Name ,d Phone ( ~ c'~ ~ N ~ r a t. Address y Zip Code Site Address ' 1 P ~ - ~ -~ a ~j Lot Size (sq ft/acres) Assessor's Parcel No R . . O a ~ Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c o N Name ? Contact Phone ( ) T Address City St. Zip Code T °a License No. " G Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ' ~ ~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential_(/ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ } '~ ~ Sets of Prints Other ~-~ rr}~, r~~ Plumbing Permit #_~~ ~ ~ P ~~s WA. ST. BC. Fee (4.50-New Const. Only) 1 /. J Mechanical ermit # TOTAL FEE + ~ Plan Check B Minimum distance of structure from property lines: Issued By ~. ~ ' Front to of Road '/ Final Insp:/J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of re ~ s a co , I further certify that I am a currently registered contractor in the State of Washi Signature ~ Date Quarterly Reports Firm: Assessor~~ TRPC _~ J ~~ 3 W` r L' '~ NEW UEVELUYMEN J / NtW c;UNS r rcuu rrun ~ncci~ua r 5ITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~,~(~ - r PERMITIINSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 J ~~jh PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~~ ~~ ~ ~~~--~ WATER SERV. ORDER ~a~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~, ~~ f ~~ BUILDING PERMIT / ~ ~ ~ ~ ~ ~ ~ '=~'tC.JUttCS Y, 5u i,c! _ C, F~~ e PLUMBING PERMIT ~1 / ~ ~Q ~~ '7 MECHANICAL PERMIT '~ f! , (~Q I `~`' '7~. GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE Y,ELM BUILDING DEPT. CITY OF YELM Building~ermit ~° ~ ~ ~ ~ BUILDING DEPT. Date Pho/~ne: 458-8407 (Work must °b~within 120 days) P N Name~~i'r .c:~%y1,~ ~~~~'~ 1r'~ , ~/~ Ph )one ~~) ~ci ~ t( ~~ R n.~.~.o~~ -%~/t1.~V ~ ~ti/~% ChG I /) ~ U/~ r'Yl~t. // J/~Zi~ Code ~'~'>"~.1~ ~ Site Address t-j ylJ'/ ,~-J/Jj'I ~T 7/~.IlYt / L' ~°~ . d-C~ a ~' ~ 9 Assessor's Parcel No. ~ ~ ~~ Lot Size (sq.ft/acres) a Subdivision , ~ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ~ Contact Phone ( ) T - Address City St. Zip Code T ~ i irancw Nn JC/"~I~C1 /i 1 >~ ~°./41~t'./ ~ ~ ~-;^~ Exo. 'ry} /~ Yelm Bus. Lic. No. ~ M1 .~ Description of Work t / OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well ~ ~"~~ ~"~ ~_ 1 Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ , (~o Sets of Prints Other r Plumbing Permit #-~ ~ WA. ST. BC. Fee (4.50-New Const. Only) J , ~ ~ / ^ry .f ~' J Mechanical Permit #~ ~~ TOTAL FEE , Plan Check } ~ ~. Minimum distance of structure from property lines: Issued By ~ f Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing z ing and land subdivision, and in addition, all covenants, easements and restrictions of record. pplying aa,~'contr er certify that I am a currently registered contractor in the State of Washington. ~(s ~°'°' F ~ ft Signature __ ~~~ ~'"'"` ""°"'°"""""'""'°'°'°"`~"~""~" Date Quarterly Reports Firm: N('~T~` ~.~ Presy~e~-k:~; n~2_ i.n ~esign~~~~r~ f~c~n~ ~1~3~ g Fr. ~e 3 ~ t^'l~c>c flc>csded ?-~-9fi f. _i_ang rec;~ne~tenc~~~ Assessor ~ J TRPC / / NEW UEVELUYMEN 1 /NEW GUNS lltuu t iuN c;Ntt;nL~~: SITE ADDRESS: Permit # It Applicable Fee It Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 a33~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3~~, ~ ~~~~ WATER SERV. ORDER ~'~~(~~ ~ `~,`~ POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW 7 -7 ~ ~~ )~~ BUILDING PERMIT ~p~3 , 5V 1~ I`1`G~J z~~au~~s Y, sv Z~'.C. Fz~ PLUMBING PERMIT (1 ~ . ~'~ I ~~~ MECHANICAL PERMIT 3~j; ~GJ /~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. Phone: 458-8407 w (Name ' .=f1°~~t.{3-L'.~l i Building Permit ~~ 5 ~ ~ 4 --~f , r Date f :'~a:~ e--f, i (Work must be started within 120 days) .e.f f` R Address ~ ' ~ %' ~ City f St. r ip Code `> ~ ~ Site Address ~ ~~ ~ / ,~ /• .! ~` ~"' r~ /J ~" ~~` a Assessor's Parcel No. ~ ,_ ~ ~ ,~} ~~ ~ Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N ~ f Name ~ ~- ~~' ~ , ~ ~> ~ Contact ,/,~-`~ ? r . i ~, Phone ( ) ``) T Address % ~~ /r~ City `~J L+,f St. ~ ip Code ~ ~~ ~~~ T R License No. ~ , (,~ '~ ~ ~, Exp. Yelm Bus. Lic. No. '~ '~ Description of Work ~-'4 ? /~ ~ ° r ~ ~ , ~ ,~' a OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ~ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ , , . Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~, ~ Mechanical Permit # ~* y''? TOTAL FEE ~ ~ Plan Check B a ~. t ~ Minimum distance of structure from property lines: Issued By t (_' U Front to of Road Final Insp:J_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Assessor-/~ TRPC / ~ . .CITY OF YELM °~` BUILDING DEPT. 'hone: 458-8407 Building Permit ~~ 5 ~ ~ Date '~ ~~ `- ~ `!-' (Work must be started within 120 days) ~ Name ~%~ Phone ( ) '~ ~ ~~~ t ~~~ a Address ~ r1; ! City ~ St Zip Code ~ ``~~ ~~ Site Address ~a~ (~~~` ~' ~'.~~f ~~, `~ a Assessor's Parcel No. ~ 1 l ~ '~I,~~~/ ~(J~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name /J Contact Phone ( ) '~~ '" ` ~ T ~ Address ~ , r Cit t. c~ 7 ~ Zip Code ~-) / r a License No. Exp. Yelm Bus. Lic. No. ~ ~ (~ ,~, Description of Work -~~ 'r .? ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Other Commercia City Water Private Well Private System Shoreline Permit Y N .-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,j ~ , f,.~~V ~ ~, ~~ Sets of Prints ~ ~J~J Pl bi P it # `~L ~ Other erm um ng - ..r r f ~ WA. ST. BC. Fee (4.50-New Const. Only) ]' , ~~ Mechanical Permit # TOTAL FEE ~ ~, ~~ Ptan Check By ~ ~~ Minimum distance of structure from property lines: Issued By ~ ` ~ , u Front to of Road Final Insp:/J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including th, se governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of rget5~d. applying as a contractor further certify that I am a currently registered contractor in the State of Washington. ' s Signature ' ' ~~""' Dat .7 ~fp Quarterly Reports Firm: ~ AssessorJJ TRPC J / ~. =-4.J .~ ,.~.,.1 i} 'l NtW UEVtLU!'MtN 1 / NtW LVNS r rtuu r run c;rftunua r SITE ADDRESS: 2~~ Permit # if Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~/~- / $125.00 PERMIT/INSPECTION SEWER LATECOMERS *SEWER/SEPTIC ~ ~" $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER /~ ~- POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW p /~ I ~ 0 f ~~C/ ~ BUILDING PERMIT 3 ~ ! ~~j ~ ~ ~j`~ i~G Lc~tcS ~ 5u i.L'_C, F~~~ PLUMBING PERMIT ~ ~' ~ I ` MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. phone: 458-8407 ~.OT# 8 Building,,.~ermit ~_ ~; 5 7 9 ~ .~, ~-- t, Date`~"LI~ j (Work must be started within 120 days) w N ;- ., - Name ~ ~ Phone (~('~~) ~ - Y a / ~ Address Cit ~' ~ ip Code `~ .., Site Address 0 a Assessor's Parcel No. S~ -- ~~~ ~ (~,(,((~, ^# J (,~ ~~5~~~ Lot Size (sq.ft/acres) E Subdivision L.~J!>`777 ~ I~,~'r~ l,~ Lot ~ Block T Y ~~ OR Short Plat No. Block Existing Structures, if any: 0 N Name '~ ~ 1Contact Phone ( ) T R ~ Address City St. Zip Code T a License No. t Exp. Yelm Bus. Lic. No. ~. Description of Work ' <~ i~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # . WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit #~~~--~-'--F TOTAL FEE , Plan Check By 1~'' Minimum distance of structure from property lines: _ ~ Issued By Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted__/ ulations including those gover~ing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. )f applyin~ as a contractor, I further certify that I am a currently registered contractor in the State of Wash~fon.~ ~ ,~_ *` ~ ~ ~, r ~ -' Signature "' ', ' _ Date Quarterly Reports Firm: Assessor / ~ _ .f1TFS " TRPC J ~ r - '~.) Px`QG'Z~ TlOt' ~.I9 C~P_S1 I08~f't~ ~ LC3(3~ ~7~_c~12t ?. Pra ~rtv fl.rlradec~ 2-8-9Fa ~3 ~'~c~od rra~~f:in r'ec~'t~itrgnerld~d r; ~~ NEW llEVELUPMEN I /NEW CONS l KucIIUN CH>:CKL15 SITE ADDRESS: Permit # if Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 '~, °~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 I i~ ~j ~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 30Q , (~~ j ~~ y ~ ~~~. WATER SERV. ORDER ~df~~f~ ~~ ~' ~~~~_ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW `T~~ ~~ ~~~ BUILDING PERMIT 5 7 q 8 5~T ~,(}(~ ~~~ ~ Y~1r~tu~t~g Y, 5G l,tl:C~ F~eG PLUMBING PERMIT J ~ ~~ -7 3.O~C~ ~ l MECHANICAL PERMIT 5~~~ ~JJ.,S~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. 0 w N CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~7~~// Building, Permit ~°~ 5 7 9 5 Date ~ - .~'",' ~.;~~-; (Work must be started within 120 days) ~~ ~ ~~~ ..~ Phone( 1 R Address ~ ~ ~ ~ ~ // Cit , St. Zip Code '~ ~-r Site Address /~~j ~~ ~~~( ~ (~~ ,_„~ ~"~,, P R Assessor's Parcel No. ~ `~ Lot Size (sq.ft/acres) O P e R ~ Subdivisi ~, > ?~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ontact Phone ( ) ~ --- ~ ~ T Address ~ ,r ~ City St. Zip Code ~~~ T °a License No. ,~ Exp. Yelm Bus. Lic. No. Description of Work ~ t OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other - City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value 'y ~ ~ f (~ ! ~~ Sets of Prints Other r --~ Plumbing Permit # ~ I:~ y ~~ WA. ST. BC. Fee (4.50-New Const. Only) ; Mechanical Permit # TOTAL FEE ,~ (~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. + z "~ ~ ,, ~ Signature ~"' r ~,-; ) ~ . ~,' ~ Date Firm: ,_. ~ , ~ ~ ~` %~ Plan Check By ~~ Issued By r ,_,~ u Final Insp:_/_~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor ~ ~ TRPC / ~ NEW UEVCLUNMEN 1 /NEW c;Urv~ I Iwo 1 ivn ~ntwuia i SITE ADDRESS: Permit # ~ if Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ '~i PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ _ `/' PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3~~,~ WATER SERV. ORDER ~~~~ ~, ~~ ~; ~'~~~ ~ POWER Puget- Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~(~y~ ~~ BUILDING PERMIT ~~ 9~ ~ ~ l- 5'4 ~ ~ z`, c~`~~ ~r, 5~ PLUMBING PERMIT ~~~- ~T `J ~ % ~ ®C.~ ~~~'J MECHANICAL PERMIT 53~p ~ 'y~t 5~ ~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. phone: 458-8407 / iF w Name ~ N d, a Address "~ .~ fed '? ~' Building Permit No 5 ~ ~ 4 Date `~~ ~''~~' (Work must be started within 120 days) Phone ( ) "~f~'`~~-.. ~-~`'~ / .~ St. Zip Code a Assessor's Parc I No. '~ Lot Size (sq.ft/acres) o a , Subdivision ~a Lot ~ ~ Block r Y OR Short Plat No. Block Existing Structures, if any: N Name 9 Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ,/ ' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~j , ~ Sets of Prints Pl bi Permit #~ Other um ng M h i l P it # WA. ST. BC. Fee (4.50-New Const. Only) , an ca erm ec ~ ~ ~ 5 T OTAL FEE i t Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 7 Signature , IM_4('~-k~ ~ 7 ~ '~ Date, , t ti ' '.' l ~ , Firm: w,, ~ y d r ~ ~ , ,v ~ s yyJ~~ '' Plan Check By~ ` °'~~CJ Issued By ~ ,. Final Insp:lJ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor! J TRPC ~ ~ NEW UEVELUPMEN r /NEW GUNS r rtut; r ruN c:Htc;ru_rs r SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~~ ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~i~d WATER SERV. ORDER lOC~,QV POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ 3 (Q ~ ~~ BUILDING PERMIT ~} 5 ~ I ~ j' ~7 ~~ ~~ (~~ Y y1r~l tcdc5 Y. 5v ~L~=C~ F~~~ PLUMBING PERMIT ~Z ? Z `7 ~o ~L~ MECHANICAL PERMIT ~~(a ~ '~~, ~~~ ~ `~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. Phone: 458-8407 N R Address '~ ~ ~ ' Site Address r P Assessor's Parcel No. ~S`" C~ R p i . a Subdivision T Y OR Short Plat No. Existing Structures, if any: N Name. ~~`1(,.~,! C~(~J~ ~~t'/it~ T - R ~ Address T R License No. ~, ~ ~ij~ }~ ~ ~ C~ ~ ~, Buildin ermlt ~ - > , ~., ~:, Date - ` Contact (Work must be started within 120 days) ,t day Phone (~) ~/}~~^/~~J ~~ t„!' ~i/ X l%i'~/llSt. ~~,/ ,~f~Zip Code `1 ~[1 .~~ -~`~ l t'~~ftJ ~~ot Size (sq.ft/acres) Lot g Block Block Phone( ) City St. Zip Code p Exp. Yelm Bus. Lic. No. r~,~/f Description of Work ~`' I ~ ~' ~~ ~ f OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential y Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ , ©~ Sets of Prints Other ~7 / Plumbing Permit # ~~ l J ~~~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) e Mechanical Permit # .f TOTAL FEE Plan Check Bye ..~! Minimum distance of structure from property lines: Issued By I ~ ~~ Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~J ulations including those governing oning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as~ contractor, I further certify that I am a currently registered contractor in the State of Washir~ton. ~-,, j< ~, Signature -"~ ~°`~ Date Quarterly Reports Firm: Assessor-/~ TRPC J ~ •1) ~re~~aer.~y rtc.~t ~n desi.~nat~c~ ~l~od r~a~.n ?') 3?reyp€,rt:~~ f1.c~~~eE~ ?_-8-96 3 l ~'~.r?od x~ro~f i.a~e~ ~~~rcaamrenc~~d NEW UEVELUPMEN 1 /NEW CUNS ! liuu r run c;rftc:rcr..rs ! SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ `~~>~ J PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 - J'. PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3Q~ ~ `' (, WATER SERV. ORDER ~~~~~ - ~ POWER Pugel- Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW / cJ ~ ! ~ ~~ BUILDING PERMIT ~~~~ ~~~ ~~ ~ ~f' ~ Yip ctttdc5 Y~ 5th ~~ • C~ ~~~ PLUMBING PERMIT / ~~7/ pI 0 `~ ~~ /~ ~`~ r MECHANICAL PERMIT ~~~'P ~~~, ~~ ~~/~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PR/OR TO FINAL /NSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. 'hone: 458-840/7 ~L~~~~f Building Permit ~® 5 ? 5 3 Date '-~`" ~~~' , ;~. ~~ (Work must be started within 120 days) "`,~~f{. ~ ~ ,L ~ l '.~+4~ f 1'~C__ti N _ , -- Name Phone( ) E ~~ a City St. Address Zip Code Site Address ~~~~~,~, ~~~(~ `~ f,,l'_ ~~ a Assessor's Parc I No. Lot Size (sq.ft/acres) o a ~ / Subdivision '' Lot Z / Block r Y OR Short Plat No. Block Existing Structures, if any: f 1 ~ N ontact ,r Name , Phone ( ) - T Address ~~ ~j City St. Zip Code r °a License No. "." ""."_'° "'""_"".°~"'°'"""""""'m°.~_ exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~ ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~'~ ~ ~~ Sets of Prints Other '~ ~/ ~,~'' Plumbing Permit #~,2~~1/ ~L WA. ST. BC. Fee (4.50-New Const. Only) i ~ r Mechanical Permit # TOTAL FEE Plan Check Byt. Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature `, . , ~; ~ I ; F ~ << Date ' Quarterly Reports ~ .:..~ Firm: ~ ~ 4 l ~ ~. ~' ~ Assessor_~J TRPC ~ ~ l~ /~ SITE ADARESSs Permit ~f If Applicable fee If Applicable Receipt # Connrrenls SEWER PERMIT $125.00 r ~~~j PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC $1,000.00 s~_~ ! ~ _ PER ERU FIOOK-UP SITE PLAN ACCESS 8. DRAINAGE - WATER SUPPLY WATER LATECOMERS "WATER METER p~~~, t~~ ~~~ WATER SERV. ORDER l Q~: U(a _~~ -- POWER _ Pugeh Power 458-7731 TELEPHONE Yel-rr -Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~J /~~' ~ ` ~~~ BUILDING PERMIT ~? ~~ 5 / ~ ~ ~~ ~~~ L~~, C. ~~~~ PLUMBING PERMIT ~~~~ ~~•~~ ~`~`~~ MECI-IANICAL PERMIT 5 ~(p~ ~d ~ ~~ ~~a!U GRADING PERMIT SIDEW,ALKSlCURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ~~~ ADDITIONAL COMMENTS '`DUCE AND PAYABLE PRIOR TO FINAL 1NSI'ECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~~~~~~ N r Name ~ ~~t~'~~ ~ ~' e `~: ~ti~ R ~, Address ~ ~ ~ ,/'~ ~;a Site Address j~r~~ ~~ ~ ~;~, ~? ~~ a Assessor's Parcel No. ~` ~ ~~' ' ~ ~ ~ ~~•';~ o F ~, . ~ I ' ' ' E R ~ E,f~,,~ Subdivision (~ ;+ -, Y OR Short Ptat No. Existin ,Structures, if any: c ° Name ~ N ;; ; T ~ _ A c Address~ , (,~, t~.~iC ~` ~i~ ~~ T A License No. Building Permit NO ~ ~ ~ Date ^=~ _ _~ _ ,-; (Work must be started within 120 days) ..~ ~ rt~ _,_ ~ ~"} Phone ( ) :1 `'~ City `'~ St. Zip Code t= ' ~ `~ '` ~t ~ Lot Size (sq.ft/acres) f-,~;~ ; ~ Lot ~ ~ ~ Block Block ontact Phone ( ) ~ ~ 't ;~1 St. Zip Code ~~ Exp. Yelm Bus. Lic. No. Description of Work ~~' '~~ OFFICIAL USE ONLY ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~ .~ r ~~ Sets of Prints Other ~' Plumbing Permit #~~~. WA. ST. BC. Fee (4.50-New Const. Only) '<- ,~ --> r -, Mechanical Permit # .~ TOTAL FEE ~ Plan Check By ; .~ ~ i~~',% l ._ / ~'~ ~ ~ _> Minimum distance of structure from property lines: Issued By ~ '~~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ / Signature ,t~./.~j;,/~-~,!,~,.~ DateY.~,,, /L~/ j~ /. Quarterly Reports r Firm: F~, +i `~ili/ ~~ ~,~~+:.C7~';~c:. S Assessor-/~ TRPC ~ J szx'~ nvURi;ss: ~~~~ ~"~~~_~~-- - --~"~-~---t~~-~-~ ~~~ SEWER I'ERMI'i' SEWER LATECOMERS "SEWERlSEP T IC SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WA-TER METER I'oimll tl II Aphlica~lo - - ~--~ -- Foo I( Recelpl AhPlicahlo l~ Connnenls ~ I75.00 FERMI 1IRJSI'ECI ION $1,000.00 ~,:, PLR ETZU I IOUIC-Uf' - -- _ _ d F /~ ~ ---- __ __ -. WATER SERV. URUER ' J -- ---.._--------- -- - --- huyol~ Powor ~15f3-7731 POWER _ .__- _- -- --------- --- ---------- ___- Yclni tol©. ~15iT-?_17 TELEPIiUNE - STATElCU. APPROVAL S~1 REE7 CONSTRUCT _ - -_-- ------ - ------------ - PLAN REVIEW --- -- --~~._ q~_ ~~ ,, ~._- _--- --- - ~ ~~ ~ -------- _ MIT 5~1~9 ~5~GYY~ ~~ ~~~.~~. ~-~_~- __ 1 ----- BUILDING PER __- - - _ _ ~~~~~ / ~/' ~` ' ~~ - --- ---_--- ' PLUME3ING PERM17 __ - _- _ -_ _ - - MECI IANICAL PERMft ~~ ~ ~ ~ / ; 5(J ~ _ ' ~~J-- -- _.-- ---- GRADING PERMIT ------------- - SIDEWALI(SICURBS ___ -- LANDSCAPING --- - - - - --- ----- ~) ~~d - - ~- YELM BUSINESS LIC. $30.00 ADUI~TIONAL COMMENTS '`DUE /IND P/lY/IDLE PRIUIZ 7-U f'IN/IL INS!'EC17UN DY CITY OF YELM BUILDING DEPT. phone: 458-8407 ~.- / , w Name G~~Di~JCr t~~M~T Building:B-er it ~®, 5 ~ ~ ~ Date ~ ~ ~~ (Work must be farted ithin 120 days) Phone ( ) YJ (~ ' ~ ~ ^ address ~ mercy j at. ~ up was Site Address '~ ~ t a Assessor's Parcel No. ? (7 Z ~ ~~, ~ ~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N tt Name I Contact Phone ( ) ( ~ ? - ~ r Address 'i City t~ •~ St. ip Code ~6 ~ ~~ °a License No. ~, d Exp. Yelm Bus. Lic. No. Description of Work a ~ ,-~ ~ l OFFICIAL USE ONLY ~ 'r ) Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other `'~ ~ Plumbing Permit # WA ST BC Fee (4 50 New Const Only) Mechanical Permit #~ '.e/ TOTAL FEE /4 ~~ ~ ~ Plan Check By '!~F.9 ;'I Minimum distance of structure from property lines: Issued By + ?~ ~~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that t am a currently registered contractor in the State of Washington. ~ d c,..,.,....,. d _ ~ ~~ a. n nom `7 t ! ~ _ n„~ne.i.. [~e.,.,~~ Firm: Assessor~~ TRPC J J ~,~- ~~~~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Pp mi~ ® 5 ~ 9 3 ~~ Date r"' ~_. (Work must be started within 120 days) w Name Phone( ) N E a Address City ~`° St. Zip Code Site Address ~ P R Assessor's Parcel No. ~ f ~ ~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~;ti. ~ .. . c N Nam ' ontact Phone ( ) r -- R ~ Address City St. Zip Code r a License No. /~,,,~ Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign t i l O h r C Sewer Septic Approval No. ommerc a t e City Water Private Well Private System Shoreline Permit Y N 'Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Minimum distance of structure from property lines Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as,,a-ee~t[actor, I further certify that I am a currently registered contractor in the State of Washington. , /! „ f' ,~ , , Signature !, ,~,~' ( ~°r ti ~~...-'( ~,°' Date ~~ ,, `~ Firm: _. ~~~'! ~r-~ "T ~ 1..~'" T;~) ,3~' i t . ~i ! .~ i ~% ~C-_~~l`"`~. ,g Plan Check B Issued BY ~ ~ ~ ~~ ~ rp Final Insp:JJ Owner L&I Form Assessor Floor Plan and Permit Submitted-/~ Quarterly Reports Assessor~~ TRPC ~ ~ CITY OF YELM BUILDING DEPT. ~hone:458-8407 `'~,.__% 1 / ~f . N Name r+' 1 rn e t ~ ~ ^ /~, R Address City , St. Zip Code ~( Site Address ~ ~~ ~,~~;(" R Assessor's Parcel No. (~% ~~~ [Jtlll! ~~ ~ Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name 4Z ~ / '` 'i~'"~ ~ r' Contact Phone( ) ~`" r Address , City ~ ~a '~ St. `~ Zip Code T °a License No. Exp. I Yelm Bus. Lic. No. Description of Work ~a .~ .! OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) i Residential Sign , s Sewer Septic Approval No. , Commercial Other T City Water Private Well Private System .f / ~ . - Shoreline Permit Y N ~~ eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~. ~~ , Sets of Prints Other Plumbing Permit # f/ WA. ST. BC. Fee (4.50-New Const. Only) '~'/'~, Mechanical Permit # TOTAL FEE ,~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Firm: ~~y Building Permit ~0 5 ~ ~ 2 Date .~~ /~r~ ~ (Work must be started within 120 days) 7 Plan Check By ~pC,./ -~'/ / Issued By l f Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted_~J Quarterly Reports Assessor~~ TRPC J J ~~ U '~ - ~' SITE ADDRESSS Z ~U ~~~~- ~~~ ~~J Perrrrll ~~ If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~/~. $125.UU PERMII~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~- $1,000.00 PER ERU f-IOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER N ~- WATER SERV. ORDER ~ ~./-~- POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~ ~~ ~~l BUILDING PERMIT ~y ~~ l ~ /} ~ ~ %~ Sd 'Tr1C..IL<< ~5 ~ 5Gf ~~~<<=~ ~~~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.0U ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO 1=1NAL INSPECTION BY CITY OF YELM ~.~UILDING DEPT. phone: 458-8407 w Name ?~~ , N E a Addres Site Address .~ P Assessor's Parcel No ` R . O P E R Subdivision T Y OR Short Plat No. Existing Structures, if an t . ~ N ;~ -± Name T Address , ° T R License No. ' t Building .Permit ~~ .-.. ,~ ~ g Date _ (Work must be started within 120 days) Ph ne ( ) ~ - `7Jr:~ "+~' +( , City %` St. Zip Code '~ ^7 , e /y ,~ ~~~~~ Lot Size (sq.ft/acres) Lot Block Block Contact Phone ( ) i City St. ~ Zip Code r /~ ~ Exp. Yelm Bus. Lic. No. f (J ~ r~ Description of Work OFFICIAL USE ONLY Permit Type: l Si n R id i Sq. ft. per floor: (1st) (2nd) g ent a es Sewer Septic Approval No. Commercial Other City Water Private Well Private System --~ Shoreline Permit Y N ~ __ _~ Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other `!~' C ~ r / ~ t ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE , ~~ Plan Check B ~ ~ .+ Minimum distance of structure from property lines: Issued By ( %~ ,~ Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 11 Signature l-~ , ~ ' ,~- ~„' Date ~- '^j Quarterly Reports Firm: Assessor _~ J TRPC ~ ~ II ,--`~. T ~j L ~ •~' CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~~~ ~ ~ j ,. w Name ~ ~' ~ `~- ',9 ~ ~ -''1 N a _ Address ~ r - ,~' cy ~ ~ ~ City ~ St. ' Zip Code ~ ~ ~ ~~ ~ Site Address a Assessor's Parcel No. "~~ ~~~~~~~(~'~ Lot Size (sq.ft/acres) o P a Subdivision F' ~..., ~'° ~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T R ~ Address City St. Zip Code T a License No. ~} ~ i(, Exp. Yelm Bus. Lic. No. Description of Work ~~ ' J,:' ~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) ! Residential Sign b. Sewer Septic Approval No. Commercial Other ~, City Water Private WqN Private System S~oreline Permit Y N . Heat: Electric Gas , Other Sepa Exempt Y N ITEM BASIS FOR FEE 'r""~ FEE Floor Plan Y N . ~ y. Building Value v a 'ti (~ fr;A° ; Sets of Prints l _5. Z ~ , Pl bi P Other um ng ermit #- WA. ST. BC. Fee (4.50 -New Const. Only) , ~j` Mechanical Permit # ~ ~ ~ ~ P C k B t /~ TOTAL FEE lan hec y Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~f tt , Signature ~ f k s::"."~ l.a 'r`~. ~..,,.,,,,,.,,,,,~.. Date L i Firm: +. . , t- ;..~ ~ r ~t - :_ r Building ermf t ~~ 5 7 ~ 7 Date ~ - <L `J~~ (Work must be started within 120 days) -~ - ~ ~ _~~-. Phone ( ) ~~ -° ~ ,~ ~ ` ,~~ ~~} L) rr~ YJ / , ~~ Issued By ~» J ~j Final Insp:~_J Owner L&I Form Assessor Floor Plan and Permit Submitted_~J Quarterly Reports Assessor~~ TRPC ~ ~ NEW UEVELUPMENJ~/NEW CONS11tuLIIUN CHELKLIS! SITE ADDRESS : e ~ ~~ ~ ~5~ ~~~~'f. ~.~ 7"-# ~ Permit # if` Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC $1,000.00 '' '~.~ l~`"~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~,a~'; ~~~ ~~ ' ~ ~ ~ WATER SERV. ORDER ~~~ ~ Q~ ~_~~ ~' ~- j POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ZZ ~ ~75 ~~~~ BUILDING PERMIT 5 ~~ ~~5 5a i~~~ 'Sy1cILt~~t~5 ~l.SG i,tJ:C, F'~e PLUMBING PERMIT 5~Z leg (~' p~ ~~ MECHANICAL PERMIT ~~~i'~I '~~, ~~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM B UILDING DEPT CITY OF YELM BUILDING DEPT. phone: 458-8407 -7 ~~ N Name ~~~f ~ f ,~ r'~ ~;, Buildin Pe~rmrit ~°_-, tJ Date ~ .~~:, '" ~ ~ f' .,(Work must be started within 120 days) ~ ~i'~~~ - ~~~~ ~ Phone ( ) 'y~ n--~ R Address t " ~ J ~ ~! ~~ City St Zip Code 'F~ ~ ` l ~~ Site Address ~~ '"tom ~ ! ~' '~ t R Assessor's Parcel No. ~ ~ ~ ~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ,~ ,:~~ ~. Contact Phone ( ) T c-. Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ i ~ ~ ~~ ,1 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Oth r i C Sewer Septic Approval No. a e ommerc City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~:? '~ ~f (~ f Sets of Prints Other , Plumbing Permit # ~ f. I Mechanical Permit #/~f WA. ST. BC. Fee (4.50-New Const. On ly) D TOTAL FEE '~ , ~ Plan Check B ~t/ ~~~,~ ~ % Minimum distance of structure from property lines: Issued By I r Front to of Road Final Insp:/_J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_J~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,.-, Signature ~-' , ~ ~'`~ Date ,~ ~ ~- ~ Quarterly Reports Firm: Assessor-/ J TRPC ~ / CITY OF YELM Buildin Permit ~° 5 ~ ~ ~ BUILDING DEPT. Date ~ ~" `~~ °~i~f ?hone: 458-8407 (Work must be started within 120 days) ~.._ f ~ ~" ,~ '~'~ ~. .., ~. ~ ~ ~ ,~ w Name / ~„~ . ' ~ Phone ( ) ~ ~'~ ~~ N R Address ~, C~ y ~ f~?' St. ~ Zip Code ,~~ ~~'.` ~'~~ ~' Site Address ~ (,~,> P R Assessor's Parcel No. (~ Lot Size (sq.ft/acres) R Subdivision =? a '~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~,.~/~ Contact Phone ( ) T R ~ Address City St. Zip Code a ~ ' y License No. c) NlQ ~~) L~111~ ""?~7 /4} /~ Exp. / c Yelm Bus. Lic. No. ~ ~,-~? : ) Description of Work `~ ~ ~~ " OFFICIAL USE ONLY f ry Permit Type: Sq. ft. per floor: (1st) (2nd) ` .~, ; ~~_ Residential Sign Sewer Septic Approval No. ~ ~ Commercial Other __ City Water Private Well Private System Shoreline Permit Y N Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ' (/ , ~ Sets of Prints Other ~/'7 //. ~ O, . Plumbing Permit #--42 ,~ y / WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ ".~ / ,, , Mechanical Permit #~ TOTAL FEE ~~ Minimum distance of structure from property lines: Plan Check Bye, 1 Issued By ~` °~,J J Final Insp:~I Owner L&I Form Assessor Floor Plan and Permit Submitted__/~ Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If appl~i s a contractor, I further certify at I am a currently registered contractor in the State of Washingto°~ X' __ r Signature Firm: t`.-® Date ~-- `r%, ~~~ Quarterly Reports Assessor ~ I TRPC ~ _/ ntvv utvtwrmcni i ncvr cana,rcu~.r,wr cncw~L,~, SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 l ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~Q r !J~ ~ I WATER SERV. ORDER /V~~t~d POWER Puget- Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW f' ~(CZ~ C~ ~ ~ BUILDING PERMIT 5 ~ Flo 5`a ~~~ a~ ~ ~ ?~- ~ ~~~~ , 5~ PLUMBING PERMIT 5z 0 / r ~Q ~ I MECHANICAL PERMIT 5 ~~~ '~~~ ~~ ~' GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. Phone: 458-8407 w Name ~ ~ " , ' i E ~? r .t ~~ R Address , '`° Site Address ~'~~ R Assessor's Parcel No. ~ ~ G r O - a Subdivision ~ ~^~~ f ~ ~ P /11~ r Y OR Short Plat No. Existing Structures, if any: c o Name /. N T R ~ Address /-~ t~ R License No. ~N" ~ ~ /t ~ f 7~f ~~ ~ N Building Perm't Na 5 7 S 5 Date I-- ~~ '~'~~ (Work must be started within 120 days) ~~~~>~ ,~~~- t~` ~ St.~ ZipCode~ ~ (~ - ~ci'~~l Lot Size (sq.ft/acres) Lot ~(~, Block Block Phone( ) City St. Zip Code Exp. Yelm Bus. Lic. No. ~[n Description of Work ~ '' P `' ,9r 1 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~, ~~j ~!, °~ ~ ~~ Sets of Prints Other r Plumbing Permit #-s~ WA. ST. BC. Fee (4.50-New Const. Only) r ~(,~ Mechanical Permit # TOTAL FEE '~ ' ~ ~~ . Plan Check B Minimum distance of structure from property lines: " • Issued By i i~.(~ Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,` ,~, Signature ~ -~ ,--- ~-..-- n~q Date 0 L~, ~ y~. Quarterly Reports Firm: ~..~,. ~ ~,-~4:~ ~ti. ~ Assessor~_/ TRPC / ~ ft'J ~~ 1 NEWUEVtLUI'MtNI /NtW c:Vlval+tuullvly Vntw~ua+ SITE ADDRESS: Permit # if Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 4 i ,Q~ t I v PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,~G~,aD ,~(~ V `C WATER SERV. ORDER ~~~,~ ~~ POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ ~~ ~~ lJ 1 ~ ~1 BUILDING PERMIT ~~7 85 ~~~- ~D ~! ~ Y~1 ~ ~~~~ - s~ PLUMBING PERMIT ~G~(G7 ~ 0 ! ~ (/~ ~~~ ~ <J MECHANICAL PERMIT 53~~ °~~ , ~V ~~ t GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM B UILDING DEPT. CITY OF YELM BUILDING DEPT. Phone: 458-8407 -~T~ ~~ o w Name ~ ~ , ~ N E a Address Site Address f ~ ~ ~ ~ ~j a Assessor's Pa el No. '~ ~~/ Lot Size (sq.ft/acres) o a Subdivision {7 ~ Lot ,~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) r R ~ Address City St. Zip Code r °a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ r J OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~"~ ~ ~ 2 , ~ ~ ~~~ Sets of Prints Other Plumbing Permit #_ "~ WA. ST. BC. Fee (4.50- New Const. Only) ~, Mechanical Permit # ' TOTAL FEE ,~~ (~ Plan Check Bye ./ / 4~~1 Minimum distance of structure from property lines: Issued By ~ ~ `~ Front to of Road Final Insp:/_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted--/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~ ~~` _ ~~ Date 1~-~-~-~j'~ Quarterly Reports Firm: ,,,,. ,~ ~' f,,,,,-- ~ Assessor-/~ TRPC ~ / Buildin Per i ~0 5 7 Date ~ " ~ ~ (Work must be started within 20 days) . ~~~ Ph ne ( ) ^~ b ~~ St. Zip Code -- ~~ NEW UEYELUPMEN 1 /NEW CONS 1 KUC l1UN CHCCKLIS I SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 IC~ / PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~'1.f ~ t, PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~®,~ WATER SERV. ORDER l D~ - DO ~~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ 7 ~+ ~~ Q I ~ / BUILDING PERMIT ~~ ~ / ! ~~~ 5a ~ ~ Y ~1~ ! L~~tS ~, 5u ~~~~ C~ ~~~ PLUMBING PERMIT 5Z~D~ ~~~ f~D ~J l MECHANICAL PERMIT ~~~ ~ '75 54 ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PR/OR TO FINAL /NSPECTlON BY THE YELM BU1LDlNG DEPT. CITY OF YELM Buildin Per tt No ~~~,7 7 8 BUILDING DEPT. Date ~"~- ~`a ~+ ~ ~`' phone: 458-8407 {p 4'~(~(Work must be started within 120 days) ~ d ~_ N Name , E f ~ ~ ~ Phone ~~! ) fj~/~ (~~ n~jGj. rite !' ,~~'I {/9.r1 St l ~ 7in Cnria Site Address ~ ~ a Assessor's Parcel No. ~ 7 ~„ l7 ~ f ~ ` (~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Nat e ~ ~ ~~ ~ °~' ~~ ~} ~ ~ Contact Phone ~ ) ~~~ n T Address ~(,~ ~ r ~~ City ~ St. ~ Zip Code R License No. ,~ ~ '~ d Exp. '~d Yelm Bus. Lic. No. Description of Work ~ ; ,: ' ' OFFICIAL USE ONLY ,~` ~" j ~~9 Permit Type: Sq. ft. per floor: (1st) '~ (2nd) Residential Si n 9 Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ;' 'f~ ~ ;7 ' ~ ~i Sets of Prints Other p'" ~' ~ ~ ~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # r TOTAL FEE ~ , (~ Plan Check By r' ~~,> Minimum distance of structure from property lines: Issued By ~? Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certi~jr that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Firm: Quarterly Reports Assessor-/J TRPC / / CITY OF YELM ` BUILDING DEPT. ' ~hone:458-8407 ~ ~~ ~~~~ w Name ~~ ,~ 9 /~:l .t._..Es~. ~~. Site Address ~' a Assessor's Par No. '~ Lot Size (sq.ft/acres) o P !j ~ e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ' '' Contact Phone ( ) T R ~ Address City St. Zip Code R License No. ~ Exp. Yelm Bus. Lic. No. '~ Description of Work , %',,° '~"' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ , ~~ '`~ Sets of Prints ~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) f Mechanical Permit # !J TOTAL FEE Plan Check B ~' ~..~ r Minimum distance of structure from property lines: Issued By ( ~` '- Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If a~p~g as a ¢gntractor, I further certify that I am a currently registered contractor in the State of Washing}~p...« ~%._...~~' ,lam ~~ i; Signature ~ .~~~. .,_,<~ l *`` <.w -f:_-~~~-' •,z,:~.~~~ .._ t--r~ Date, ~ ~ -.`~~ Quarterly Reports Firm: `~ Assessor ~ ~ TRPC / ~ Building(Permit ~o Date ' -` ~ ~^ (Work must be started within 120 days) n ~ Phone ( ) ~j -" (~~ St. Zip Code ~~~~ -- (~ SITE ADDRESS: Permit li If Applicable Fee If Applicable Receipt # Comrnenls SEWER PERMIT $1?_S.OU ~/ ~ PERM11/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,OU0.O0 ~ ~ PER ERU HOOK-UP SITE PLAN _ ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~C?o . ~ / WATER SERV. ORDER `Joo , oa ~ l - POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT 2 _ ~ `~' ~~ ~~~. ~~ (~ ~./--~~ ~ ~ ~r ~1c l u~ r'S ~ 5cS Lip, L' ~ (~~e~ PLUMBING PERMIT ~ ~' oo ~I J MECHANICAL PERMIT -? [. GAD / GRADING PERMIT SIDEW~ILICS/CURBS LANDSCAPING YELM BUSINESS LIC. $30'00 ___ ADDITIONAL COMMENTS DUE /IND P/1YABLE PRIOR TO f-'IN~IL INSPECTION BY ~~~~~ ~~~~N~~~" CITY OF YELM '" BUILDING DEPT. phone: 458-8407 ~.. Buildin$ Per/mit ~0 5 ~ 7 7 Date 1 "fL0"~~ (W~otrk must be started within 120 days) w Name ~...~ Phone R Address ~ ~ ~ I ~ ~ ' ,//~ ~ ~". ~~ City St. Zip Code d Site Address ~ = ~ ~^r` a Assessor's Parcel No. ~p ~~ ~~~ 7 ~~t "~ ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Strubtures, if any: N Name ` ~ "? +~Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work %~ "~ ~' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ ,~i 1 ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit TOTAL FEE ~~ ~~ Plan Check B ~ ~~ ~ r~ ..~ Minimum distance of structure from property lines: Issued By ~~ ~ Front to of Road Final Insp:_/_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~..-- Signature Date Quarterly Reports Firm: Assessor / ~ TRPC / / CITY OF YELM BUILDING DEPT. phone: 458-8407 ~: ~T ~ ~5 Building Permit ~®,--;~ ~ ~ ~ ~ ' Date { ' ~ ~G ~.~ ,~- (Work must be started within 120 days) N Name r ~- ~ Phone E R ~~' Address City St. ~' Zip Code Site Address ~ ~ ~' ~ '~ '~ , ~ R i Assessor's Par I No. / Lot Size (sq.ft/acres) E R ~ ~ Subdivision ~' ~ Lot ~~ ,~ Block T Y OR Short Plat No. Block Existing Structures, if any: $ N ~ Nam ontact ~ ,rr'' Phone ( ) T r Address , ~, ~ ~ ~ j Cit '~ St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work n OFFICIAL USE ONLY Permit Type: / Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ 'r1 ,~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~^ , ~1 ~ ~ Mechanical Permit #~ ,~ TOTAL FEE Plan Check B~.. Minimum distance of structure from property lines: Issued By (~ r I Front to of Road Final Insp:J_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature `~ Date 1 d ~ Quarterly Reports Firm: Assessor ~ / TRPC ~ / i ~~ ~~ (C./ STTC I1llDRESS : ~~ C~ '~ ~p~Z_L_._ _ ~!~--'-__~~ '~'a_`_-_-_~7~ SEWER PETtt4I'P sEwErt LA~rECOMErts "SEWERISEP T IC srrE PLnN AccESS 8. przntrvnGE WATER SUPPLY WATER LnT ECOMERS "WATER METER WATER SERV. ORDER POWER TELEPIIUNE STAT ElCO. nPI'RUVAL STREET CONSTRUCT PLAN REVIEW BUILpING PERMIT PLUMDING PERMIT MECI IANICnL PERMIT GRnUING PERMIT SIDEWALKS/CURBS LANDSCAPING --- ------- ~p ~. t~0 - --- ('~Da. dd ~~ --- ---_______ ----------------- - -- -- --- PuyoF T'owe~ 458-773 -------- ------ - -----_ YF~Int 1 ole. 458-7.171 ----- -- _5 ~ ~ ~ / ~trJ _r V D ~ - ~ f ~ ~, l-~ . L_~ ~_C ~- 7?.5~ 5 351 _-- ------ -- ~3o.vo YEI_M BUSINESS LIC. _____ nppl"T10NAL COMMENTS ~`UUE /1NU 1'/IY~iDLE PRI(7R 7-O f'!N/IL tNS!'CCIION DY I'oi ntll f! II npPlicaltle_ I _ ----- XZ r--©©Ir nhplicahlc~ $ i?_5.00 ~ ~I,ooo.oo ,~r~ PI_I2 ERU I IODIC-UP -- --- ------ L _--- --- ---- ----- _'~ ~ z-I n -X-Z --- Recelpl # Cctinntenls ~~,~~..~ f'ERMII/INSPECTIOIJ -- -~-,-~-~ -,p~ t~- C~ 0."(r~~ -- ._ h (~ ~<- 4~~~ t~." ~~~ ~~ CITY OF YELM BUILDING DEPT. phone: 458-8407 o N ~ q w a e i R ~ Address ~ ~ ~ ...t' ~ !~" City St. Zip Code Site Address ~ ~ .~ ~ ,~' ~-'' , i R Assessor's Parcel No. ' ~ ! / ~/ ~ ~ / ~ r! 0 ~~ Lot Size (sq.ft/acres) o - a Subdivision Lot Block r ~ OR Short Plat No. Block Existing Structures, if any: N Nam ~` r ~ "t ~ f ~ , Contact Phone ( ) T Address , C ~ ~ St Zip Code T a License No. f Exp. Yelm Bus. Lic. No. Description of Work H'~ OFFICIAL USE ONLY Permit Type: id i l Si V R Sq. ft. per floor: (1st) (2nd) gn es ent a Sewer Septic Approval No. Commercial Other _.. City Water Private Well Private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ''~ ~ ~ ~ '`' " Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #-~~ irJ TOTAL FEE , Plan Check B "1 ~,,~! Minimum distance of structure from property lines: Issued By { r s` Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submittedl~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Building Permit ~~ 5 7 Date ~ ~ "~ (Work m t be started wit in 120 days) r - ~f(r7 Phone( Assessor-/~ TRPC ~ ~ CITY OF YELM -.BUILDING DEPT. hone: 458-8407 Buildin Permit o ~J ~' 7 Date ~ " ~ ~ ~~° ~ ~r; j~ (Work mu~s"t be started]wjith~in 120 days) ~, N Name ~ ~ ~ ` '~" ~ " ~ ~" Phone ( ) , R Address City f St. Zip Code ~ ~~ ' ~ Site Address P R Assessor's Parcel No. ~~ Lot Size (sq.ft/acres) O R Subdivision Lot :~ Block T Y OR Short Plat No. Block Existing Structures, if any: ~~ ~ ~ /;~ ~ N Name , Contact Phone ( ) - Y Address City '~ St. Zip Code ~ ~ ~ T ~ R License No. Exp. Yelm Bus. Lic. No. (, , Description of Work ' •"~ OFFICIAL USE ONLY ~ ~ ~ ~ e ~ Permit Type: Sq. ft. per floor: (1st) (21gfi) + Residential Sign / ~ / , mmercial V Other C Sewer Septic Approval No. # o % City Water ` Private Well Private System Shoreline Permit Y N . .Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~ J ''"~ Sets of Prints Other / "~ / { Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~~ ~ x ~, r TOTAL FEE Plan Check By ~ r e I Minimum distance of structure from property lines: .Issued By~ G Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I furthe~ertify that I am a currently registered contractor in the State of Washington. _ : ~ , °f` Signature ` "~ , ~ ~;"~ ~,' - ~ Dater f .`~~ Quarterly Reports Firm: AssessorJJ TRPC ~ / CITY OF YELM BUILDING DEPT. phone: 458-8407 ,~a-r ~ 5 ..., o (f/ Date ing~Permit ~ ~ / _ ~ 7 ~ Z T j~ -~~ (Work must be started within 120 days) w Name } ~ ' '~ ~.Phonej~~ ~G~O `- ~~~C N R Address Z ~ t. ip Code ~ ~(~,,~ Site Address ~ ~~, ' ~~~ P R -, Assessor's Parcel No. ~~- ~~lljt:J ~~ f~, ~"~~l ~ j'r~~,~`~,S~Lot Size (sq.ft/acres) O a ~ Subdivision ~ ~~ ~~ ~ `~ ~~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ,~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code r R License No~~ Exp. Yelm Bus. Lic. No.,Z Description of Work ~ ro ~ ,}%'~ OFFICIAL USE ONLY Permit Type: / Sq. ft. per floor: (1st) (2nd) , Residential V Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value (~ , ~ ~ e ,(~~ Sets of Prints Other ~,' Plumbing Permit # 'J ~~~ WA. ST. BC. Fee (4.50-New Const. Only) "~~ ~(~ Mechanical Permit # ~~ ,ca~tt ~ /~ ~'d TOTAL FEE , Plan Check By ~ ~ G Minimum distance of structure from property lines: Issued By ~ ~ r Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ ~ --~. ~ 9 ~---_.____.-_ _ , d ~ ~---- - = Si ~ ~ ~ - ~ ~ '`~ : -- gnature ,r ~ Date ~ ~ Quarterly Reports Firm: ` Assessors J TRPC / J 7~ ?1 G! SITE 11ll1)RESS s __~~1_L(1_-_-. -51_l-6~C~L~~~---~~5••___._~~------------" _~-~----~------- Pvrmil tt I-ee If 12eceipl ,.., t t ' ~~ ~ ~ If Ahl~Iic,~T~le Ahplicahly tt Connnenls / L-~Q. l V ------------ ---- ----- ------- - ---- - ---- -- ----- $ Ilr.oo - - ~/ ncr~Ml t~INSrr_cTloN S E W G 12 P E I2M I'1' ----- --- ------ ----- ~ ~ - - ------- SEWER U17ECOMERS __----____--- -- IC " $1,000.UO ~~J ~ 1'ER ERU I IOUI(-T1P SEWERISEPI v' SITE PLAN -- ACCESS & DRAINAGE ___________-- _-- --------- ---- - WATER SUPPLY ---- WATER LA1 ECOMERS - - - "WATER ME 1 ER -- ~~Q, ®~ - ---~-~J WATER SERV. URUER ~Ql~ Q® ' ~ L-' ~ -- -------- - ---- --------------- _ - --------_ Puy©~~ Power ~5E3-7731 POWER -- - - -__ _- --- ----------------------- ----- -------------- --------- Yalni -lulu. ~15E1-?171 7ELEP1-IONS - ----- ------------ _ STATEICU. APPROVAL _-_--- _-_--_-- ----------------- STREET CONSTRUCT -- --- - ------ - - ----- ----------- _ _ ------- ----- - ------- r ~ ~~~` ! ~ ~ ~(- / PLAN REVIEW --- ~ ~~ ~ - --- ,- . C (Cc Lc~ ~ (~~ "' `~~ `~ ' ., , . ------ BUILDING PERMIT - ~~~~ p j /~ o ! `~T'`~ ~~ ~ ~ - PLUMDING PERMIT _ _ - - ERMIT ~ 3 ~~ ~~' ~~ `•~- ~~I -- MECI111NICAL P ~ -------- GRADING PERMIT SIUEW,l1LI~SICURBS _ -_-____ LANDSCAPING ___ _--_- - YELM BUSINESS LIC. $30.~U AUUI'TIONAL COMMENT S '^UUE /INU I'/lY/IQLE C'IZIUR '1O FINAL. INSI'EC17 UN f3Y CITY OF YELM Building Permit ~°_•,_ 5 7 ~ '~ BUILDING DEPT. Date ~ ~ ~ ~~ ~ ~ ~' phone: 458-8407 (Work must be started within 120 days) "~ ~ ~tL w Name Phone ( ) ~' (~~ N E R Address ~ ~ `~`_ City St. Zip Code ~ a Site Address ~ ! 5 P R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) O P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N r Name / ~' s .Contact / Phone (~ r ~-~ t~~ T Address ~ Ci ~ ~ ~ St. Zip Code ~ ~- T °a License No. Exp. Yelm Bus. Lic. No. Description of Work ~',~ ~,' ` OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign l Sewer Septic Approval No. Commercia Other -_ City Water Private Well Pfe System Shoreline Permit Y N Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~,~ ~ ~ , ~~ Sets of Prints Pl bi P it # Other um ng erm WA. ST. BC. Fee (4.50-New Const. Only) 'r` ~Q Mechanical Permit #~~ ~ ~© TOTAL FEE , (; ~/ Plan Check By Minimum distance of structure from property lines: Issued By { Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. __ ,!"'} /~„ Final Insp:// Owner L&I Form Assessor Floor Plan and Permit SubmittedJ~ Signature ~ Date / ~ ~ ~ Quarterly Reports Firm: ~ ~~ ~ !~l `1~~..~ Assessor-// TRPC ~ ~ T `'' t l~'"~)~ szTC nvuR>;ss: SEWER PERMx'1' SEWEK LA~1 ECOMERS "SEWEr215EPlIC SI~rE PLAN ACCESS 8, DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER ME~TEIZ WATER SERV. ORDER POWER TELEPIIUNE STA~rCICU. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUME3ING PERMI~t MECHANICAL PERMfr GRADING PERMIT SIDEWALI(S/CURBS LANDSCAPING YELM BUSINESS LIC. - -~_ f'vrmil 11 _ u AI~PnC~-I,le /__,~- -N~ - X <~ ree lr ~ rieoeluc Al,plicahly 1~ Cotrnnen(s $17U.UU PERMII/ItJSPECTION _- _ $1,000.UU- -- PER E12U I1001~-UP - _ - -- ---- ~_ --- - - ` J _ c?~ 1 _ -- - - - Puyel~ Power A58-7731 ----------_ -- -- -- Yelni l olv. X15(3-7.171 ----------------- ~~ ~D --_ 5~ gl _51v3,d~ _ 535'8 y/ , SO ~'~ :rile iii~~r-5 ~ ~~, ---- (.~~,C., (~~ee. ~3U.UU ADUfi-ZONAL COMMENTS DUE /1NU I'/lY/IDLE /'Rl0lZ 7O f"INf1L INSf'ECIIUN DY CITY OF YELM BUILDING DEPT. Phone: 458-8407 6 N Name Phone( ) E R Address City St Zip Code ~~~ ~" Site Address ~, ' P R Assessor's Parcel No. ~ ~ 7G ~I C~J / fl~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name? ? Contact Phone ( ) -• ~ ~ r Address ,~, i ;;%~' St. Zip Code T °a License No. ~ Exp. Yelm Bus. Lic. No. Description of Work ~ r j' ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value i ~~ ' , Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE 9 Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: Building Permit.;~o / 5 ~ 7 Date ~ " ~ ~. _~Cl~` (Work must be started within 120 days) Plan Check By,,. ~ ~ / .,~ Issued By ' ' Final Insp:_/~ Owner L&I Form Assessor Floor Plan and Permit Submitted~_/ Quarterly Reports Assessor / J TRPC / ~ ': ;~r° SX7~'G AllI)RSS5: ~~ ~~1~,, I'oin~ll ii SEWER PS[ttZI'1' SEWER LnTECOMERS "SEWERISEPIIC SfTE PLAN ACCESS 8. DRAINAGE Ir nl~hn~~~le ~~ ----- - - __- 1=oa II (teceipt nl~plical~le ii $-i ~ s-u u - ------- ~, ,~U~.U~ -- - --- - -- Coinmenls PI_rznrll I nNSl~r_cl IoN PII2 CI2U I IUUIC-Ur' WATER SUPPLY WATER LATECOMERS "WATER ME TEft WATER SERV. URUER POWER TELEPIfONE STATEICU. nPPRUVnL STREET CONSTRUCT _ ____ PLAN REVIEW __ /~ Q~ BUILDING PERMIT ~!_~ / -_ PLUMBING PERMIT _- __ ___ __ - MECIIANICnL PERMIT GRADING PERMIT SIUEWALICSICURBS LANDSCAPING ----- --- ----- -- Puye~~ Powar ~ 5a-7731 --- ----- --.--- -- Yaln~ T ale. X15(3-? 171 ~r ~~ c . l 1.<<~ r"5 `~~ •~U ----- ------- --- YELM BUSINESS LIC. 'b3U UU --- ADUI"TION/1L COMMENTS ~UUE nNU PnYnDLE PRIOIZ To C'INnL WS!'EC~IION I3Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~v~~z ~ w N Name J '~ E R Address --- ~ ~ / ~ ''" r ,/~-~, ~' -~ , Site Address L., ~~~ r/ /, `7 ~ l~ ~ , fr tom} P R Assessor's Parcel No. ~ (~(~ j~ O P ~ e R Subdivision T Y OR Short Plat No. Existing Str ctures, if any: c N Name / Contact T R ~ Address °R ~ ,I / / ~+ -~^' License No. ~ ~ //'~.s'd l ; / ~ !®~ ! . 1 Building Per+~,It ~~ / ~5 ? 7 6 Date (° ' ~ ~ ~ ~k~~ _~ (Work must be started wit 120 days) __ .._.~..-~_ .~ , ~----n ~ C Lot Size Lot /~ //Phone) /d T ~~ `~ ~~ St. t.~ ~ Zio Code U'/ ~ ] ~! / Block Block Phone( ) City St. Zip Code /, Exp. Yelm Bus. Lic. No. ~ ~~ /. Description of Work r //' 1 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ,~~ Sets of Prints Other Plumbing Permit # ' ~~ .? ` WA. ST. BC. Fee (4.50-New Const. Only) ~, ~~ G ; ~ ~ ~ Mechanical Permit #~L~~ TOTAL FEE ~~, ~ Plan Check By l{ ,rC./ ~' ~ ~ Minimum distance of structure from property lines: r ^ / Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. " ,-,' _, , Signature ~ rf~ ~ ~~ ; _ - " ___ ,__-~~ Date ~ `- ~ - Quarterly Reports Firm: ~ ~`. i-.. -` : ~ _-, ~~ . Assessor~J TRPC / / SI'.T?G 11T)T)R>;55: ~~'I SEWER PERMI'P SEWER LATECOMERS "SEWER/SEPTIC SITE f LAN ACCESS ~ Uf2l11NAGE WATER SUPPLY WATER LATECOMERS "WA'TER METER WATER SERV. URUER -- - -- - _ - POWER 1ELEPITUNE STATE/CU. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUME3ING PERMIT MECI IANICAL PERMIT GRADING PERMIT SIDEW7ILI(SICURBS LANDSCAPING YELM BUSINESS LTC. ApUTTIONAL COMMENTS he,,,,ll ~~ r-ee lr nl~l~licu~le Al~plic~ahle $'I?_5.00 I,ooo.uv ~~~i ~_~ 2eceq~l ~! Connnenls FERMI I~INSI'EC11ON - PER Ef2U 11001(-UP ----- - - -- - ?ao . oo - ~ ~~~-- ----- --- --- ------ --~- - - I uyei Power 458-7731 ------- ------------- --- Y©hii -I of©.45(3-2171 3 `7, ~ 7 ~ ~ ~~ ' _ ____~__ _ L~~,L, (c'c: ~ z l~ ~ - - g3.OD ~ ~ `~ ___--- 5~~7 ~~j ~~ 0`~~~ _ _-- 'b30.00 .... ...nr,r-r~-r rrinl -l V No CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Permit ~~J ~ 7 4 Date ~ _ '_~ _ ":~~{' (Work must be started within 120 days) Site Address l®~ ~ ~ ~~~(~ ~~~ , V R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name ~~ ~ Contact ~ ~ ,, Phone( ) - ~ ~'` T Address '~ ~ {. , Cit ! Zi St Code y p . T a License No. - Exp. ~' Yelm Bus. Lic. No. 7 , Description of Work °~- OFFICIAL USE ONLY i ""~' ' f Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Commercia Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~/~ Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~~,,,,-..,-.^.,,y ~ .._..__,_,,,,,~ ~ ~.,._..~._,__._.-,-,,,,, Date /-- ~ - j ~ Firm: ~, ~~ Plan Check B /,t Issued By Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted_ / Quarterly Reports Assessor / ~ TRPC ~ / CITY OF YELM BUILDING DEPT. phone: 458-8407 BuildingrPermit ~°~~ ,._. J ~ i Date ~ -• --~, ~~ ~..~ ~ ~;, (Work must be started within 120 days) w Name , ~ -~ ~ i ~ ~~~ t, Phon ~ ).. "` ~' ff,~'" R Address . ~ '~ ~ Ci ~ ip Code C<< t'~)~~ Site Address ~'~ ) _ - ~ 'l" a Assessor's Parcel No. ;~•---~ ; ~ ~'~ ~ J ~^--' _- nCS e (sq.ft/acres) o , E R Subdivision ~ Lot Block T ~ -"' OR Short Plat No. ~~`" + Block Existing Structures, if any: N Name ~~~~{~~ ~ ~~1 ~t ntact Phone ( ) T Address City ~ St. Zip Code ° ~ j ~ ( ` ~ ' ~~ ~i ~~ a License No. .~ i J - Exp. Yelm Bus. Lic. No. ~ Description of Work ~..--' n, ~ " % OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) „' ; ! Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System ~ ~ ~ Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value `~j ~ ;,,ti ~-'~ ~ ~ '~ ,~~ Sets of Prints r-~ ~ } Pl bi P i Other ~--( ng erm um t # '~ ~~~ • M h i l P it # ~ WA. ST. BC. Fee (4.50-New Const. Onl y) ec an ca erm _ _ TOTAL FEE .Nj-~ ~, , ~ Plan Check By` ~. Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the oposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing z ~r~g and land subdivision, and in addition, all covenants, easements and restrictions of recor plyin -~16ntract-~"or, 11-u"rThe~r certify that I am a currently registered contractor in the State of Washington' ~ //' i L_l! Signature Firm: ~~p~ ~~ ~. ~~~ . ~.. ,_.--~_~ f~ ,~ , I Issued Bjr~- ~- °'-~~...1_..i~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJJ Quarterly Reports Assessor~~ TRPC ~ ~ SIT); 11llDRES5: ~g3~ ~-'- --- 5EWGR PEi2MI'P sEwErt Ln t EcoMErzs "SEWERISEPTIC SITE PLAN ACCESS ~ DRAINAGE Wn'TER SUPPLY WATER LATECOMERS I'oi n-il !! if nlrplica~lu ~ ~~ r-o©Ir nhpllcat~l~ Receq~l !! Cv-nn-enrs ------------ $175.OU O i ~~ PEI2M1 I IINSI'EC i IOIJ --- -- ~ I o00 ~o r'crt Erzu I loon-urn --------------- - _.-- --- - --- --- __ - "W AT ER M E T E R _ - _- - -- ------- _ --- - --- WATER SERV. URUER --------- ---- - --- - ~~, ~ --- 1 I~~~ - -----__-_-_----------- -. - ----------- ----- ----------- --- - --- Puyel Power A58-7731 rvwER --- --- ---- - -- -------- ------- _ ----------------------- - ------ --------- _ --------- Ycrln- -1010. X16(3-7.171 T.ELEPIIONE _.____ --------------- STATEICO. nPPROVAL STREET CONSTRUCT _ _ ---------- - ---- - --------- -- _ _ - - -- _ _ __ ---------- _ _ - - (~ 2 -1 ~~ `IC~~~ ---.-- PLAN REVIEW - ---- - -- _J _ ~ - -- --- ~ , i-i~c iu~~~-°5 ~~ .~c~ -- MIT J~'7 ~ ~~~ -___ ~~U ~ L~~, C-, ~-C ~- BUILDING PER -_ - - __, -- - - _ -- -- fT ---- -- ~~~~ !~' = 1 -~~'._1~ ' - - ----- - _- - PLUME3ING PERM ---_- - --- _-_ -- MECI IANICAL PERMfT '' f ~r i-' --- GRADING PERMIT ------------- - SIUEW~ILICSICURBS __--_- ___-__ LANDSCAPING _-_-_---- - YELM BUSINESS LIC. $3U.U() AUDffIUNAL COMMEN i S '~UUC /1ND f'/1Y/1©LE PRIOR T-U f'IN~IL INSI'CGTIUN DY CITY OF YELM ~ ~!~ 6UILDING DEPT. "'~ ~ '~ J U ie ~hone:458-8407 ~ Building Permit ~~ ~ ~ 7 Date ~~~~ ~ / ~`? (Work m~u/st~b~e started within 120 days) °w Name ~~ (.t--?;°-`c~-v C.~, ,.~ Phone ( ~~,) . /f ~,; , N E a Address ~' (~ , ) ~ fiX~ ~ ~~ ~ City ,~. ,~ J St. ~ Zip Code (} ~ ~ < ,~ Site Address ~ _ `~ ~ a ~-+~ Assessor's Parcel No.~-~'~ ~~~'~ ` ~ ,~ ~_([.,•~~ ! ~<) j~„~~ ~ LQt Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name -~ Contact Phone ( ) r Address City St. Zip Code a ~ ...r License No. ~ ~ ~] ~( r~ Exp. Yelm Bus. Lic. No. , , ~ ~ tJ ~ 1 Description of Work ~,,,,,~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic pproval No. Commercial Other City Water Private x Well private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ , ~ ~ Gl Sets of Prints ~s ~ ~ C~ Plumbin Permit #~ Other g - M i l P i h ~ ~ ~ ~ WA. ST. BC. Fee (4.50-New Const. Only) an ca erm t # ec TOTAL FEE /,) (} Q ~ ~ ~ J~ Plan Check y~_L ~~~- Minimum distance of structure from property lines: ~ , Issued By/ ( Front to of Road Final Insp:~~ Side Side Rear Owner L&L Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the i nformation contained within the application and know the same to be true and correct. I also certify that the p ed structuw-is•irt conformity with all applicable City of Yelm reg- Submitted~~ ulations including those overning zo ng a a,~crd'subdivision~ and in addition, all covenants, easements and restrictions of record a plying as con l Eor, I further certiflr that I am a currently registered contractor in the !, State of Washington. -' ~ Signature!°" ~/ -----°-°"""' Date Quarterly Reports Firm: Assessor~~ TRPC ~ ~ SI'.L'G 11llURESS : ~~~~~ ~----------___- _a~-_G~'~~~ r~_ SEWER PERMI'P SEWCR L/1~TECOMERS Ir nphlica~le r-e©Ir ~ I~eceipl "SEWERISEPTIC SITE FLAN ACCESS & DRAINAGE WATER SUPPLY WATER LAT ECUMERS "WATER METER WATER SERV. ORUER _ - - -- POWER T ELEPI IONS STATE/CO. nPPROVAL STREET CUNSTRUC~T PLAN REVIEW BUILDING PERMIT PLUMFTING PERMIT ___-_____ MECITANICAL PERMIT GRADING PERMIT SIUEWALI(SlCURBS LANDSCAPING llpplical~l~ # Connnenls $ I?_5.UU ~ `~' ~ PGRMI 171NS1'ECTION $ I,000.UU --- ~~ ~ {'ER EIZU i 1001(-UP --- y,~}} ~(JV , ~~ J !~ ~ ---- --- -- ----------- ---- 7ao , ~ ~ ~"~ ~ - ----- ---- - -------- - --- ------------- Puyeh Power X158-7731 ---- - -----_ ---- - - Y~In- 1 ole. ~15U-?_ 171 - I--'lc'.ILl~~S ~~C~ -- 5~3~3 ~1 ~ ~ a~ ~'~'~`~ --- $3U.UU YELM BUSINESS LIC. AUDIT ZONAL COMMEN 1 S '"DUE /INU P/1Y~IQLE /'RIOIZ TU F1N,~IL INSI'CG7lUN DY CITY OF YELM BUILDING DEPT. (hone: 458-8407 ,C~ ®~ ~Z~ Buildin Perrr,~it N,o.-, ~ ~'~ 5 a Date ~~ (Work must be started within 120 days) ~, ' ~ ' ' Ph e ~~ - y'`J w Name on ) si N a Address ~ j`~ t. ip Code Site Address P ~ E'~`'" ~ ' R of Size (sq.ft/acres) Q s Parcel No. % Assessor o R ~ ~ Lot Subdivision t Block T Y OR Short Plat No. Block Existing Structures, if any: c o N Name Contact Phone ( ) T Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other - City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value t (~ ~ ~ Sets of Prints P bi P i `~ ~ Other ng erm lum t # ° ~ ,~ l~ C ical Permit # ~~sJ ( / M ha WA. ST. BC. Fee (4.50-New Const. Only) , ec n ~ TOTAL FEE f Plan Check By ~ Minimum distance of structure from property lines: ~~ Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_.~~ ulations including th overning zoning and land subdivision, and in addition, all covenants, easements and restrictions of recor . If plying as a qc~tractor, I furthe~certify that I am a currently registered contractor in the State of Washingto ,.~' ' ' f'' ,.__... ; Signature ,r .,,......-....r,x Date ~ ~. Quarterly Reports i Firm: Assessor_~~ TRPC / ~ r~ 1 SITE AllDRESS : ~,~'~9 .,~-~. /~Y1_~9~I1L~'~'i2'I ~~ /~~~: ~~ ~~'' r ~~~ r'ennit # Ir Applicable Fee Ir /lpplicable fZeceipl # Comments SEWER PERl4I'P $125.00 ®~ ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC $1,000.00 PER ERU Fi00K-UP SITE PLAN -------____-- - ACCESS & DRAINAGE WATER SUPPLY __ -- - WATER LATECOMERS "WATER METER ---- ------- -- i.J(1~ r (.~J --- .-. WATER SERV. ORDER ----- /y~•~_ - ~.._.Z `-'---"~- - _. - ----- POWER - - --_-- ------ PugeF Power 458-7731 __ ------ TELEPI-IONS -- Yelm Tele. 458-2171 STATElCO. APPROVAL - STREET CONSTRUCT PLAN REVIEW _ BUILDING PERMIT J 5~~ ~ l j J Q ~ 7 ! ~ v ~ -- ~ ~Z . t~~ "~ ~ ~~ ~ ~~ ~rrlciLc~ ~S , ,c5 ~-~~' C, (-~~ c. PLUMBING PERMIT ~ ~~~~ 7 __ ~V ~~ J ~~ _ MECHANICAL PERMIT ~~~~ 7 ~~ ~~ ~~~ GRADING PERMIT __ _ SIDEW~ALI(SICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' ADDITIONAL COMMENT"S '`DUE /iND PAIYA©LC PRIOR TO FlN/IL INSPEC770N 8Y